Dental Board of California
Licensing details for: 4451
Name: STORY DENTAL HEALTH CENTER, DENTAL GROUP,
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: STORY DENTAL HEALTH CENTER, DENTL GROUP,
Address of Record
2454 Story Rd
SAN JOSE CA 95122-1058
SANTA CLARA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JAIN, DEEPIKA
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: JAIN, DEEPIKA
License/Registration Type: Dentist License
License Number: 44705 Primary Status: Current - Active
Address :
2454 STORY RD
SAN JOSE CA 95122
SANTA CLARA COUNTY
