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Licensing details for: 105209

Name: Jeffries, Carol

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

7861 Greenback Ln
CITRUS HEIGHTS CA 95610-5909
SACRAMENTO county
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Practice Location

7861 Greenback Ln
CITRUS HEIGHTS CA 95610-5909
SACRAMENTO county
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Issuance Date

August 6, 2020

Expiration Date

December 31, 2025

Current Date / Time

December 13, 2025
11:25:33 AM

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: ASPEN DENTAL PRACTICE OF JEFFRIES DENTAL PC

License/Registration Type: Fictitious Name Permit

License Number: 19153 Primary Status: Current - Active

Address :
7861 GREENBACK LN
CITRUS HEIGHTS CA 95610
SACRAMENTO COUNTY

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