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Licensing details for: 31463

Name: GADE, MICHAEL DUANE

License Type: Dentist

Primary Status: Expired Primary Status Definition

Previous Names: GADE, MICHAEL D

Address of Record

15 SIERRA GATE PLAZA
ROSEVILLE CA 95678
PLACER county
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Issuance Date

July 14, 1983

Expiration Date

September 30, 2021

Current Date / Time

June 7, 2025
3:31:12 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BLUE OAK DENTAL GROUP, ARENA, GADE, WILKES DENTAL

License/Registration Type: Fictitious Name Permit

License Number: 4453 Primary Status: Cancelled

Address :
5410 PARK DR
ROCKLIN CA 95765
PLACER COUNTY

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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: BLUE OAK DENTAL GROUP, ARENA, GADE, WILKES DENTAL

License/Registration Type: Fictitious Name Permit

License Number: 4453 Primary Status: Cancelled

Address :
5410 PARK DR
ROCKLIN CA 95765
PLACER COUNTY

Map

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