Dental Board of California
Licensing details for: 8810
Name: DREAM SMILES DENTAL, DENTAL OFFICE OF DR. SHAHRAM J. KHODAI
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Previous Names: DREAM SMILES DENTAL
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: KHODAI, SHAHRAM
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: KHODAI, SHAHRAM
License/Registration Type: Dentist License
License Number: 43027 Primary Status: Current - Active
Address :
3517 Marconi Ave #105
SACRAMENTO CA 95821
SACRAMENTO COUNTY
