License Directory

Shine on Dental Group Shiva Mohtasham Dds, Inc

Active

California license 12469

License

Licensed by
Dental Board of California
License number
12469
Status
Active (Current)
First issued
October 22, 2015
Expires
February 29, 2028
Entity type
Organization

Classifications

  • Fictitious Name Permit Dental

More from the license record

License type code
4412
Related
Mohtasham Shiva (51976)

Contact

1501 Bollinger Canyon Road, Suite F
San Ramon, CA 94583
Contra Costa County