License holder summary

EVERGREEN FAMILY DENTAL GROUP SOUMYA SHIVANNA DDS is a Dental - Fictitious Name licensed to practice in California. The address on file for EVERGREEN FAMILY DENTAL GROUP SOUMYA SHIVANNA DDS is SAN JOSE. This licensed professional license is current. The license was granted 08/19/2015 and expired on 10/31/2016.

California

Department of Consumer Affairs

EVERGREEN FAMILY DENTAL GROUP SOUMYA SHIVANNA DDS
Dental - Fictitious Name
License number
12340
Date granted
08/19/2015
Date expires
10/31/2016
Class
Dental - Fictitious Name
Status
Current
Address
SAN JOSE
californialicensing.org
ID 31313704
LAST UPDATED 2026-06-26 08:30:43 UTC

This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.

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