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Licensing details for: 62531

Name: MADAAN, GAURI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

6134 Camino Verde Dr
Suite F
SAN JOSE CA 95119-1431
SANTA CLARA county
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Issuance Date

July 2, 2013

Expiration Date

January 31, 2026

Current Date / Time

June 6, 2025
2:41:58 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SANTA TERESA FAMILY DENTAL DENTAL OFFICE OF GAURI MADAAN, DMD, INC.

License/Registration Type: Fictitious Name Permit

License Number: 13015 Primary Status: Current - Active

Address :
6134 CAMINO VERDE DRIVE, SUITE F
SAN JOSE CA 95119
SANTA CLARA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DENTAL SMILES OF WILLOW GLEN, DENTAL OFFICE OF DR. GAURI MADAAN

License/Registration Type: Fictitious Name Permit

License Number: 18772 Primary Status: Current - Active

Address :
1525 MERIDIAN AVE #104
SAN JOSE CA 95125
SANTA CLARA 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: DENTAL SMILES OF WILLOW GLEN, DENTAL OFFICE OF DR. GAURI MADAAN

License/Registration Type: Fictitious Name Permit

License Number: 18772 Primary Status: Current - Active

Address :
1525 MERIDIAN AVE #104
SAN JOSE CA 95125
SANTA CLARA 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: SANTA TERESA FAMILY DENTAL DENTAL OFFICE OF GAURI MADAAN, DMD, INC.

License/Registration Type: Fictitious Name Permit

License Number: 13015 Primary Status: Current - Active

Address :
6134 CAMINO VERDE DRIVE, SUITE F
SAN JOSE CA 95119
SANTA CLARA COUNTY

Map

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