Dental Board of California
Licensing details for: 5617
Name: COFFEE FAMILY DENTAL PRACTICE OF RICKY BRAR, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
803 COFFEE RD, STE 5
MODESTO CA 95355
STANISLAUS county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BRAR, RICKY
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: BRAR, RICKY
License/Registration Type: Dentist License
License Number: 50213 Primary Status: Current - Active
Address :
1045 Sperry Ave Ste C
PATTERSON CA 95363-9286
STANISLAUS COUNTY
