Dental Board of California
Licensing details for: 4670
Name: CLOCKTOWER DENTAL GROUP, PRANAB K DUTT, DDS, A
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1540 SOUTH IMPERIAL AVE
EL CENTRO CA 92243
IMPERIAL county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DUTT, PRANAB K
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: DUTT, PRANAB K
License/Registration Type: Dentist License
License Number: 39788 Primary Status: Current - Active
Address :
1635 Lake San Marcos Dr
105
SAN MARCOS CA 92078-4661
