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Licensing details for: 58867

Name: HERMO, IRENE BAILON

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: BARTOLOME, IRENE HERMO-BARTOLOME, IRENE BAILON

Address of Record

1080 MANZA CIRCLE
ROSEVILLE CA 95678
PLACER county
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Practice Location

831 Sterling Pkwy Ste 130
831 Sterling Parkway #130
LINCOLN CA 95648-7323
PLACER county
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TOOTH SPA DENTISTRY
LINCOLN CA 95648
PLACER county
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Issuance Date

September 30, 2009

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
3:17:32 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TOOTH SPA DENTISTRY DENTAL OFFICE OF DR. IRENE B. HERMO

License/Registration Type: Fictitious Name Permit

License Number: 12428 Primary Status: Expired

Address :
831 STERLING PARKWAY SUITE 130
LINCOLN CA 95648
PLACER 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: TOOTH SPA DENTISTRY DENTAL OFFICE OF DR. IRENE B. HERMO

License/Registration Type: Fictitious Name Permit

License Number: 12428 Primary Status: Expired

Address :
831 STERLING PARKWAY SUITE 130
LINCOLN CA 95648
PLACER COUNTY

Map

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