Dental Board of California
Licensing details for: 5568
Name: TWELVE BRIDGES DENTAL GROUP, RAJ ZANZI, DMD, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
2295 FIELDSTONE DR
LINCOLN CA 95648
PLACER county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ZANZI, RAJ
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ZANZI, RAJ MOHAMED
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: ZANZI, RAJ MOHAMED
License/Registration Type: Dentist License
License Number: 47216 Primary Status: Current - Active
Address :
1424 BLUE OAKS BLVD
ROSEVILLE CA 95747
PLACER COUNTY
