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Licensing details for: 42118

Name: BAJAJ, SUNITA

License Type: Dentist

Primary Status: Current - Inactive

Address of Record

10235 Byrne Ave
CUPERTINO CA 95014-2809
SANTA CLARA county
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Issuance Date

August 1, 1994

Expiration Date

September 30, 2025

Current Date / Time

June 7, 2025
8:21:28 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: EVERGREEN DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 1337 Primary Status: Cancelled

Address :
MICHAEL T. VEHAWN
3162 NEWBERRY DRIVE
SAN JOSE CA 95118
SANTA CLARA 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: EVERGREEN DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 1337 Primary Status: Cancelled

Address :
MICHAEL T. VEHAWN
3162 NEWBERRY DRIVE
SAN JOSE CA 95118
SANTA CLARA COUNTY

Map

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