Dental Board of California
Licensing details for: 18772
Name: DENTAL SMILES OF WILLOW GLEN, DENTAL OFFICE OF DR. GAURI MADAAN
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: MADAAN, GAURI
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: MADAAN, GAURI
License/Registration Type: Dentist License
License Number: 62531 Primary Status: Current - Active
Address :
6134 Camino Verde Dr
Suite F
SAN JOSE CA 95119-1431
SANTA CLARA COUNTY
