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Licensing details for: 102539

Name: MACCHIARELLA, BIANCA CECELIA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2000 Santos Pl
WOODLAND CA 95776-5637
YOLO county
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Practice Location

2041 BRONZE STAR DR. SUITE 100
WOODLAND CA 95776
YOLO county
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Issuance Date

June 15, 2018

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
2:29:5 PM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: BIANCA MACCHIARELLA , DDS

License/Registration Type: Additional Office Permit

License Number: 81839 Primary Status: Current - Active

Address :
1450 E. MAIN STREET, SUITE 100
WOODLAND CA 95695
YOLO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DENTISTS OF WOODLAND DENTAL GROUP, MACCHIARELLA AND GILL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18660 Primary Status: Current - Active

Address :
1450 E. MAIN STREET, SUITE 100
WOODLAND CA 95695
YOLO COUNTY

Map

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: DENTISTS OF WOODLAND DENTAL GROUP, MACCHIARELLA AND GILL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18660 Primary Status: Current - Active

Address :
1450 E. MAIN STREET, SUITE 100
WOODLAND CA 95695
YOLO COUNTY

Map

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