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Licensing details for: 65040

Name: TUAN, MICHAEL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2041 Bronze Star Dr
STE 300
WOODLAND CA 95776-5427
YOLO county
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Issuance Date

August 21, 2015

Expiration Date

July 31, 2025

Current Date / Time

June 7, 2025
5:58:55 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: AMARDEEP GILL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 79874 Primary Status: Current - Active

Address :
2041 BRONZE STAR DR STE 100
WOODLAND CA 95776
YOLO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WOODLAND SMILES DENTISTRY DENTAL GROUP AMARDEEP GILL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14573 Primary Status: Current - Active

Address :
2041 BRONZE STAR DR STE 100
WOODLAND CA 95776
YOLO 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: WOODLAND SMILES DENTISTRY DENTAL GROUP AMARDEEP GILL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14573 Primary Status: Current - Active

Address :
2041 BRONZE STAR DR STE 100
WOODLAND CA 95776
YOLO COUNTY

Map

OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: TUAN, MICHAEL

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3367 Primary Status: Cancelled

Address :
2041 Bronze Star Dr
Ste 300
WOODLAND CA 95776-5427
YOLO COUNTY

Map

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