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Licensing details for: 103000

Name: GOLANI, RAHUL DEEPAK

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Completed LBC Clinical Contract

Address of Record

3568 Richmond Ave
CLOVIS CA 93619-8035
FRESNO county
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Contract Location

4646 N. FIRST STREET
FRESNO CA 93726
FRESNO county
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Practice Location

1275 W Shaw Ave
101
FRESNO CA 93711-3710
FRESNO county
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Issuance Date

August 3, 2018

Expiration Date

August 31, 2027

Current Date / Time

December 13, 2025
7:21:23 PM

License Relationships

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: Children's Dentistry of Fig Garden, Dental Group

License/Registration Type: Fictitious Name Permit

License Number: 19657 Primary Status: Current - Active

Address :
1275 W Shaw Ave Ste 101
FRESNO CA 93711-3710

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