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Licensing details for: 32106

Name: KIRKLAND, MARK D

License Type: Dentist

Primary Status: Current - Inactive

Address of Record

297 PIEDMONT AVE
PACIFICA CA 94044
SAN MATEO county
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Practice Location

700 Parnassus Ave
SAN FRANCISCO CA 94122-2629
SAN FRANCISCO county
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Issuance Date

October 11, 1983

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
7:19:25 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ORAL HEALTH CARE OF NORTHERN CALIFORNIA, DENTAL PRACTICE OF KIRKLAND DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 17605 Primary Status: Expired

Address :
24301 SOUTHLAND DR STE 409F
HAYWARD CA 94545
ALAMEDA 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: ORAL HEALTH CARE OF NORTHERN CALIFORNIA, DENTAL PRACTICE OF KIRKLAND DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 17605 Primary Status: Expired

Address :
24301 SOUTHLAND DR STE 409F
HAYWARD CA 94545
ALAMEDA COUNTY

Map

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: KOGAN, ZOYA

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 122 Primary Status: Current - Active

Address Not Disclosed

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