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Licensing details for: 65052

Name: NNEBE, IFEATU CHIKAODILI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

4257 Emerald Gate Ln
FOLSOM CA 95630-6066
SACRAMENTO county
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Issuance Date

August 26, 2015

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
10:54:44 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BSC DENTAL SMILES DENTAL PRACTICE OF IFEATU NNEBE, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 14525 Primary Status: Expired

Address :
2700 E. BIDWELL ST, STE 300
FOLSOM CA 95630
SACRAMENTO 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: BSC DENTAL SMILES DENTAL PRACTICE OF IFEATU NNEBE, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 14525 Primary Status: Expired

Address :
2700 E. BIDWELL ST, STE 300
FOLSOM CA 95630
SACRAMENTO COUNTY

Map

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