Dental Board of California
Licensing details for: 6835
Name: RENAISSANCE DENTAL PRACTICE OF SIAMAK OKHOVAT, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: REUAISSAUCE DENTAL PRACTICE OF SIAMAK OKHOVAT
Address of Record
3984 DOUGLAS BLVD.
STE. 170
ROSEVILLE CA 95661
PLACER county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: OKHOVAT, SIAMAK
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: OKHOVAT, SIAMAK
License/Registration Type: Dentist License
License Number: 47541 Primary Status: Current - Active
Address :
2231 Douglas Blvd
STE 110
ROSEVILLE CA 95661-4264
PLACER COUNTY
