Dental Board of California
Licensing details for: 19909
Name: Lotus Dental Group, Dental office of MISTY HENNE-BHULLAR DMD INC
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
1660 Willow St Suite 7
SAN JOSE CA 95125
Map
License Relationships
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: HENNE-BHULLAR, MISTY AUTUMN
License/Registration Type: Dentist License
License Number: 101918 Primary Status: Current - Active
Address :
1660 Willow St
Suite 7
SAN JOSE CA 95125-5101
SANTA CLARA COUNTY
