Dental Board of California
Licensing details for: 9059
Name: DENTAL SPECIALISTS OF ROSEVILLE, GENERAL DENTAL GROUP OF AMANDEEP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Secondary Status: Cancelled at the Request of the Licensee
Previous Names: DENTAL SPECIALISTS OF ROSEVILLE
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: BEHNIWAL, AMANDEEP
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: BEHNIWAL, AMANDEEP
License/Registration Type: Dentist License
License Number: 45647 Primary Status: Current - Active
Address :
1700 Rocky Ridge Dr
SUITE 100
ROSEVILLE CA 95661-2818
PLACER COUNTY
