Dental Board of California
Licensing details for: 3628
Name: LINCOLN DENTAL OFFICE, SHAHRYAR KHODAI, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Previous Names: LINCOLN DENTAL OFFICE, SHAHYAR KHODAI, DDS
Address of Record
520 COTTONWOOD STREET, STE 11
WOODLAND CA 95695
YOLO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KHODAI, SHAHRYAR
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: KHODAI, SHAHRYAR
License/Registration Type: Dentist License
License Number: 47740 Primary Status: Current - Active
Address :
1980 Alamo Dr Ste A
VACAVILLE CA 95687-6110
SOLANO COUNTY
