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Licensing details for: 103016

Name: MASHKOOR, FATIMA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2100 Geng Rd
Suite 210
PALO ALTO CA 94303-3343
SANTA CLARA county
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Issuance Date

August 5, 2018

Expiration Date

July 31, 2025

Current Date / Time

June 7, 2025
8:35:22 AM

License Relationships

GA to DDS or OMS or SP

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

Related Party Role: General Anesthesia Permit

Name: MASHKOOR, FATIMA

License/Registration Type: General Anesthesia Permit

License Number: 1913 Primary Status: Current - Active

Address :
155 5th St
oral and maxillofacial surgery clinic
Arthur A. Dugoni School of Dentistry
SAN FRANCISCO CA 94103-2919
SAN FRANCISCO COUNTY

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