Dental Board of California
Licensing details for: 9711
Name: SMILE WORLD DENTAL, PRACICE OF BHAVINI SHELAT DDS INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: SMILE WORLD DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: SHELAT, BHAVINI HARISH
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: SHELAT, BHAVINI HARISH
License/Registration Type: Dentist License
License Number: 56738 Primary Status: Current - Active
Address :
4232 ACCLAIM WAY
MODESTO CA 95356
STANISLAUS COUNTY
