Dental Board of California
Licensing details for: 3662
Name: DR GESICHO'S HAWKEYE FAMILY DENTAL OFFICE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
711 E HAWKEYE AVE, STE 2
TURLOCK CA 95380
STANISLAUS county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GESICHO, GLADYS KWAMBOKA
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: GESICHO, GLADYS KWAMBOKA
License/Registration Type: Dentist License
License Number: 46801 Primary Status: Current - Active
Address :
711 E HAWKEYE AVENUE, STE 2
TURLOCK CA 95380
STANISLAUS COUNTY
