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Licensing details for: 14960

Name: KRVAVICA, ROBERT E

License Type: Dentist

Primary Status: Cancelled

Secondary Status: Reduced Renewal Fee

Address of Record

1191 COLEMAN RD #228
SAN JOSE CA 95120
SANTA CLARA county
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Issuance Date

January 1, 1959

Expiration Date

April 30, 2014

Current Date / Time

December 13, 2025
7:54:15 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: THE SPECIALTY DENTAL CARE GROUP, PEDER H. HAMILTON, DDS

License/Registration Type: Fictitious Name Permit

License Number: 1352 Primary Status: Cancelled

Address :
15000 LOS GATOS BLVD
LOS GATOS CA 95032
SANTA CLARA COUNTY

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