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Licensing details for: 60883

Name: KAUR, SIMRAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

8740 Cantle Ct
ROSEVILLE CA 95747-8915
SACRAMENTO county
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Practice Location

8008 Walerga Rd
suite 100
ANTELOPE CA 95843-9001
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Roseville Modern Dentistry
1990 Blue Oaks, ste100
ROSEVILLE CA 95747
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Issuance Date

September 15, 2011

Expiration Date

January 31, 2026

Current Date / Time

June 7, 2025
6:14:26 AM

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: SIMRAN KAUR DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81394 Primary Status: Current - Active

Address :
1990 BLUE OAKS BLVD STE 100
ROSEVILLE CA 95747
PLACER COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ROSEVILLE MODERN DENTISTRY DENTAL GROUP, SIMRAN KAUR DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17810 Primary Status: Current - Active

Address :
1990 BLUE OAKS BLVD., STE 100
ROSEVILLE CA 95747
PLACER 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: ROSEVILLE MODERN DENTISTRY DENTAL GROUP, SIMRAN KAUR DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17810 Primary Status: Current - Active

Address :
1990 BLUE OAKS BLVD., STE 100
ROSEVILLE CA 95747
PLACER COUNTY

Map

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