Dental Board of California
Licensing details for: 18479
Name: WOODLAND FAMILY DENTAL GROUP DALLA
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DALLA, DEVAN
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GILL, AMANDEEP SINGH
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: GILL, AMANDEEP SINGH
License/Registration Type: Dentist License
License Number: 61025 Primary Status: Current - Active
Address :
1548 MAEHL DR
MANTECA CA 95337
SAN JOAQUIN COUNTY
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: DALLA, DEVAN
License/Registration Type: Dentist License
License Number: 63130 Primary Status: Current - Active
Address :
3108 E PINTAIL WAY
ELK GROVE CA 95757
SACRAMENTO COUNTY
