License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SEASIDE PERIO CENTRE DR. L SWAYAMPRAKASAM DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 14370 Primary Status: Expired
Address :
43625 MISSION BLVD, STE 105
FREMONT CA 94539
ALAMEDA COUNTY
MS to DDS or OMS or SP
License/Registration Role: Moderate Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: SWAYAMPRAKASAM, LOGESH
License/Registration Type: Dentist License
License Number: 100140 Primary Status: Current - Active
Address :
3200 Mowry avenue
Suite 102
FREMONT CA 94538
