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Licensing details for: 100770

Name: MILCOVICH, JENNIFER MASTERS

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: MASTERS, JENNIFER RUTH

Address of Record

11500 EDGEWOOD ROAD
AUBURN CA 95603
PLACER county
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Practice Location

3737 Moraga Ave
Suite A108
SAN DIEGO CA 92117-5404
SAN DIEGO county
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Issuance Date

August 24, 2016

Expiration Date

November 30, 2026

Current Date / Time

June 7, 2025
2:52:11 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MILCOVICH DENTAL ARTS DENTAL GROUP OF MILCOVICH DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 17192 Primary Status: Current - Active

Address :
1855 SAN MIGUEL DR., SUITE 27
WALNUT CREEK CA 94596
CONTRA COSTA COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: MILCOVICH DENTAL ARTS DENTAL GROUP OF MILCOVICH DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 17192 Primary Status: Current - Active

Address :
1855 SAN MIGUEL DR., SUITE 27
WALNUT CREEK CA 94596
CONTRA COSTA COUNTY

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Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: HARVEY, SHEMEKA NICKESHA

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 1051 Primary Status: Current - Active

Address Not Disclosed

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