Tracy Smiles Modern Dentistry Dental Group Entabi Dental Corporation
ActiveCalifornia license 15167
License
- Licensed by
- Dental Board of California
- License number
- 15167
- Status
- Active (Current)
- First issued
- July 22, 2019
- Expires
- January 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Entabi Khaled (56401)
- Related
- Gill Amardeep (50464)
- Related
- Bautista Reymond (56217)
- Related
- Lopez Michael (57591)
Contact
2600 S. Tracy Blvd., Suite 170
Tracy, CA 95376
Tracy, CA 95376
San Joaquin County