Dental Board of California
Licensing details for: 7309
Name: STADIUM DENTAL GROUP, ROBERT P. NAKAKI, DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: STADIUM DENTAL GROUP
Address of Record
2288 DANIELS STREET
MANTECA CA 95337
SAN JOAQUIN county
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License Relationships
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: NAKAKI, ROBERT PAUL
License/Registration Type: Dentist License
License Number: 28963 Primary Status: Current - Active
Address :
2288 DANIELS STREET
MANTECA CA 95337
SAN JOAQUIN COUNTY
