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Licensing details for: 53804

Name: JUAREZ, JOSE VICENTE

License Type: Dentist

Primary Status: Current - Active

Address of Record

2340 Sunrise Blvd Ste 25
GOLD RIVER CA 95670-4369
SACRAMENTO county
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Issuance Date

August 30, 2005

Expiration Date

November 30, 2025

Current Date / Time

June 7, 2025
8:29:26 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE KINGDOM DENTAL, DENTAL OFFICE OF JOSE V. JUAREZ, D.D.S. INC

License/Registration Type: Fictitious Name Permit

License Number: 11774 Primary Status: Current - Active

Address :
2340 SUNRISE BLVD
SUITE 25
RANCHO CORDOVA CA 95670
SACRAMENTO 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: SMILE KINGDOM DENTAL, DENTAL OFFICE OF JOSE V. JUAREZ, D.D.S. INC

License/Registration Type: Fictitious Name Permit

License Number: 11774 Primary Status: Current - Active

Address :
2340 SUNRISE BLVD
SUITE 25
RANCHO CORDOVA CA 95670
SACRAMENTO COUNTY

Map

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