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Licensing details for: 108595

Name: BAJWA, HIBBA ZIA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

4184 molten creek way
ROSEVILLE CA 95747-4556
PLACER county
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Practice Location

6920 Auburn Blvd
Ste 100
CITRUS HEIGHTS CA 95621-4386
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Issuance Date

February 13, 2023

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
8:24:38 AM

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: HIBBA BAJWA, DDS

License/Registration Type: Additional Office Permit

License Number: 81825 Primary Status: Current - Active

Address :
6920 AUBURN BLVD., SUITE 100
CITRUS HEIGHTS CA 95621
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CITRUS HEIGHTS SMILES DENTISTRY DENTAL GROUP, HIBBA BAJWA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18648 Primary Status: Current - Active

Address :
6920 AUBURN BLVD., SUITE 100
CITRUS HEIGHTS CA 95621
SACRAMENTO 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: CITRUS HEIGHTS SMILES DENTISTRY DENTAL GROUP, HIBBA BAJWA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18648 Primary Status: Current - Active

Address :
6920 AUBURN BLVD., SUITE 100
CITRUS HEIGHTS CA 95621
SACRAMENTO COUNTY

Map

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