Dental Board of California
Licensing details for: 8654
Name: BERNAL DENTAL GROUP, SUDHA CHINTA, DDS, A PROF. DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: BERNAL DENTAL GROUP
Address of Record
4466 BLACK AVE.
STE. K
PLEASANTON CA 94566
ALAMEDA county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHINTA, SUDHA SESHA
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: CHINTA, SUDHA SESHA
License/Registration Type: Dentist License
License Number: 43769 Primary Status: Current - Active
Address :
103 SYCAMORE VALLEY ROAD WEST
DANVILLE CA 94526
CONTRA COSTA COUNTY
