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Licensing details for: 1707

Name: SANDHU, SHABAZ

License Type: Dentist General Anesthesia

Primary Status: Cancelled

Address of Record

2954 INDIANAPOLIS AVE
CLOVIS CA 93611
FRESNO county
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Issuance Date

July 11, 2014

Expiration Date

March 31, 2016

Current Date / Time

June 6, 2025
2:3:49 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: SANDHU, SHABAZ

License/Registration Type: Dentist License

License Number: 56373 Primary Status: Current - Active

Address :
1130 Coffee Rd
Suite 7-B
MODESTO CA 95355-4228
STANISLAUS COUNTY

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