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Licensing details for: 40056

Name: BALA, ERIK WILLIAM

License Type: Dentist

Primary Status: Current - Active

Address of Record

7 Oak Crest Ct
Unit B
NOVATO CA 94947-4751
MARIN county
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Issuance Date

July 24, 1992

Expiration Date

October 31, 2025

Current Date / Time

June 7, 2025
3:20:3 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BARSTOW FAMILY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 1474 Primary Status: Cancelled

Address :
JOZEF T HAMILTON
1940 E MAIN STREET
BARSTOW CA 92311
SAN BERNARDINO 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: BARSTOW FAMILY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 1474 Primary Status: Cancelled

Address :
JOZEF T HAMILTON
1940 E MAIN STREET
BARSTOW CA 92311
SAN BERNARDINO COUNTY

Map

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