Dental Board of California
Licensing details for: 9564
Name: IMAGE ORTHODONTICS, DENTAL PRACTICE, YAN KALIKA DENTAL CORPORATIO
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: YAN KALIKA DENTAL CORPORATION. DBA: IMAGE ORTHODONTICS
Address of Record
129 SACRAMENTO STREET
SAN FRANCISCO CA 94111
SAN FRANCISCO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KALIKA, YAN
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: KALIKA, YAN
License/Registration Type: Dentist License
License Number: 45886 Primary Status: Current - Active
Address :
3075 Beacon Blvd
WEST SACRAMENTO CA 95691-3462
SACRAMENTO COUNTY
