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Licensing details for: 56958

Name: RAWLINS, JOSEPH T

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: CHUA, SHIUBEI CHUA

Address of Record

4420 TOWN CENTER BLVD.
SUITE #220
EL DORADO HILLS CA 95762
EL DORADO county
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Issuance Date

April 29, 2008

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
8:11:34 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: JOSEPH RAWLINS DDS DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 79158 Primary Status: Cancelled

Address :
569 W Lowell Ave
#200
TRACY CA 95376-3081
SAN JOAQUIN COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: RAWLINS & LYONS DDS INC

License/Registration Type: Additional Office Permit

License Number: 79147 Primary Status: Expired

Address :
675 Contra Costa Blvd
PLEASANT HILL CA 94523-1514
LAKE COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: Lyons & Rawlins DDS Inc

License/Registration Type: Additional Office Permit

License Number: 79247 Primary Status: Cancelled

Address :
5010 Laguna Blvd
ELK GROVE CA 95758-4148
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SURFSIDE KIDS DENTAL GROUP, T LYONS & J RAWLINS, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 14110 Primary Status: Current - Active

Address :
7806 MADISON AVE # 200
FAIR OAKS CA 95638
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PEDIATRIC DENTAL SPECIALISTS, DENTAL PRACTICE, JOSEPH T RAWLINS,

License/Registration Type: Fictitious Name Permit

License Number: 7856 Primary Status: Current - Active

Address :
4420 TOWN CENTER BLVD #220
EL DORADO HILLS CA 95762
EL DORADO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SURFSIDE KIDS DENTAL PRACTICE OF JOSEPH RAWLINS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17412 Primary Status: Current - Active

Address :
5010 LAGUNA BLVD., SUITE 101
ELK GROVE CA 95758
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PAJARO VALLEY CHILDREN'S DENTAL GROUP DR.'S RAWLINS AND WITTWER

License/Registration Type: Fictitious Name Permit

License Number: 13593 Primary Status: Cancelled

Address :
230 GREEN VALLEY RD
FREEDOM CA 95019
SANTA CRUZ 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: PEDIATRIC DENTAL SPECIALISTS, DENTAL PRACTICE, JOSEPH T RAWLINS,

License/Registration Type: Fictitious Name Permit

License Number: 7856 Primary Status: Current - Active

Address :
4420 TOWN CENTER BLVD #220
EL DORADO HILLS CA 95762
EL DORADO COUNTY

Map

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: SURFSIDE KIDS DENTAL GROUP, RAWLINS & LYONS

License/Registration Type: Fictitious Name Permit

License Number: 13088 Primary Status: Expired

Address :
675 CONTRA COSTA BLVD
PLEASANT HILL CA 94523
CONTRA COSTA 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: SURFSIDE KIDS DENTAL GROUP, T LYONS & J RAWLINS, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 14110 Primary Status: Current - Active

Address :
7806 MADISON AVE # 200
FAIR OAKS CA 95638
SACRAMENTO COUNTY

Map

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: SURFSIDE KIDS DENTAL PRACTICE OF JOSEPH RAWLINS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17412 Primary Status: Current - Active

Address :
5010 LAGUNA BLVD., SUITE 101
ELK GROVE CA 95758
SACRAMENTO COUNTY

Map

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: PAJARO VALLEY CHILDREN'S DENTAL GROUP DR.'S RAWLINS AND WITTWER

License/Registration Type: Fictitious Name Permit

License Number: 13593 Primary Status: Cancelled

Address :
230 GREEN VALLEY RD
FREEDOM CA 95019
SANTA CRUZ COUNTY

Map

OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: RAWLINS, JOSEPH T

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 1452 Primary Status: Cancelled

Address :
3868 DELWOOD DRIVE
POWELL OH 43065
DELAWARE COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: RAWLINS, JOSEPH T

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3577 Primary Status: Cancelled

Address Not Disclosed

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