Dental Board of California
Licensing details for: 8059
Name: LOS ALTOS DENTAL, DENTAL OFFICE OF VISHNU SHANKAR, DDS, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: LOS ALTOS DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHANKAR, VISHNU
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: SHANKAR, VISHNU
License/Registration Type: Dentist License
License Number: 39707 Primary Status: Current - Active
Address :
504 Linden Ave
SAN BRUNO CA 94066
SAN MATEO COUNTY
