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Licensing details for: 64882

Name: WADHWA, BHARAT ASHOK

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1204 Beckett Dr
ROSEVILLE CA 95747-5818
PLACER county
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Issuance Date

July 30, 2015

Expiration Date

April 30, 2027

Current Date / Time

December 13, 2025
4:48:44 PM

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: WADHWA DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80305 Primary Status: Current - Active

Address :
2503 BELL ROAD
AUBURN CA 95603
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: SIERRA SMILES DENTISTRY DENTAL GROUP WADHWA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15368 Primary Status: Current - Active

Address :
2503 BELL ROAD
AUBURN CA 95603
PLACER COUNTY

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