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Licensing details for: 106675

Name: KARRI, PAVANI PRIYANKA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

2600 S Tracy Blvd
#170
TRACY CA 95376-9103
SAN JOAQUIN county
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Issuance Date

July 21, 2021

Expiration Date

June 30, 2028

Current Date / Time

October 27, 2026
5:58:16 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: Tracy Smiles, Dental Group of Tracy Smiles, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20766 Primary Status: Current - Active

Address :
2600 S Tracy Blvd, Ste 170
TRACY CA 95376
SAN JOAQUIN COUNTY

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