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Licensing details for: 62280

Name: KNIGHT, VICENTE PAUL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2205 FRANCISCO DR. SUITE 150
EL DORADO HILLS CA 95762
EL DORADO county
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Issuance Date

April 5, 2013

Expiration Date

September 30, 2026

Current Date / Time

June 7, 2025
2:34:41 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: KNIGHT DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 11908 Primary Status: Current - Active

Address :
2205 FRANCISCO DRIVE
SUITE 150
EL DORADO HILLS CA 95762
EL DORADO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GREEN VALLEY DENTAL GROUP KNIGHT DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13241 Primary Status: Current - Active

Address :
2205 FRANCISCO DRIVE, SUITE 150
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: GREEN VALLEY DENTAL GROUP KNIGHT DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13241 Primary Status: Current - Active

Address :
2205 FRANCISCO DRIVE, SUITE 150
EL DORADO HILLS CA 95762
EL DORADO COUNTY

Map

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