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Licensing details for: 2417

Name: KAUR, KARMJIT

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

sparkle kids dental care
1801 tully rd
suite A
MODESTO CA 95350-2931
STANISLAUS county
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Practice Location

1801 Tully Rd
suite A
1801 TULLY RD, suite A
MODESTO CA 95350-2931
STANISLAUS county
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Issuance Date

November 15, 2010

Expiration Date

November 30, 2023

Current Date / Time

June 7, 2025
7:10:1 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SPARKLE KIDS DENTAL CARE, DENTAL OFFICE OF KAUR & BORRERO DDS DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 16288 Primary Status: Current - Active

Address :
1801 TULLY RD., STE A.1
MODESTO CA 95350
STANISLAUS COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: KAUR, KARMJIT

License/Registration Type: Dentist License

License Number: 59660 Primary Status: Current - Active

Address :
1726 TINNIN ROAD
MANTECA CA 95337
SAN JOAQUIN COUNTY

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