Dental Board of California
Licensing details for: 19049
Name: TULLY DENTAL CENTER DENTAL OFFICE OF DR. SWATHI UPADHYAYA
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: UPADHYAYA, SWATHI
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: UPADHYAYA, SWATHI
License/Registration Type: Dentist License
License Number: 55052 Primary Status: Current - Active
Address :
2680
S.WHIITE RD #100
SAN JOSE CA 95148
SANTA CLARA COUNTY
