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Licensing details for: 64387

Name: RATTAN, TEJDEEP SINGH

License Type: Dentist

Primary Status: Current - Active

Address of Record

919 S Fulton St
MOUNTAIN HOUSE CA 95391-1402
SAN JOAQUIN county
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Issuance Date

March 12, 2015

Expiration Date

December 31, 2026

Current Date / Time

June 6, 2025
3:15:54 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: INNOVO DENTAL AND IMPLANT STUDIO LIVERMORE DENTAL OFFICE OF TEJDEEP RATTAN DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 18476 Primary Status: Current - Active

Address :
1376 CONCANNON BLVD
LIVERMORE CA 94550-6004
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: INNOVO DENTAL AND IMPLANT STUDIO DENTAL OFFICE OF TEJDEEP S. RATTAN D.D.S INC.

License/Registration Type: Fictitious Name Permit

License Number: 15946 Primary Status: Current - Active

Address :
2955 N. CORRAL HOLLOW ROAD SUITE 100
TRACY CA 95376
SAN JOAQUIN 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: INNOVO DENTAL AND IMPLANT STUDIO LIVERMORE DENTAL OFFICE OF TEJDEEP RATTAN DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 18476 Primary Status: Current - Active

Address :
1376 CONCANNON BLVD
LIVERMORE CA 94550-6004
ALAMEDA 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: INNOVO DENTAL AND IMPLANT STUDIO DENTAL OFFICE OF TEJDEEP S. RATTAN D.D.S INC.

License/Registration Type: Fictitious Name Permit

License Number: 15946 Primary Status: Current - Active

Address :
2955 N. CORRAL HOLLOW ROAD SUITE 100
TRACY CA 95376
SAN JOAQUIN COUNTY

Map

MDC to DDS or OMS

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

Related Party Role: Mobile Dental Clinic Permit

Name: INNOVO DENTAL AND IMPLANT STUDIO LIVERMORE DENTAL OFFICE OF TEJDEEP RATTAN DDS INC

License/Registration Type: Mobile Dental Clinic Permit

License Number: 9212 Primary Status: Current - Active

Address :
1376 Concannon Blvd
LIVERMORE CA 94550-6004
ALAMEDA COUNTY

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