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Licensing details for: 3136

Name: ELSEMARY, NAGY RAMADAN A

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

5403 DUTCH IRIS COURT
ELK GROVE CA 95757
SACRAMENTO county
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Issuance Date

April 10, 2014

Expiration Date

May 31, 2017

Current Date / Time

June 7, 2025
2:18:0 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: AMANA DENTAL GROUP, ELSEMARY DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 3501 Primary Status: Cancelled

Address :
7275 EAST SOUTHGATE DR
SACRAMENTO CA 95823
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ELK GROVE KIDS DENTIST AND ORTHODONTICS, DENTAL PRACTICE OF ELSEMARY & SALEM DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 12697 Primary Status: Current - Active

Address :
9045 BRUCEVILLE ROAD, SUITE 110
ELK GROVE CA 95758
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WACKFORD DENTAL CENTER, DENTAL OFFICE OF ELSEMARY & SALEM DENTAL

License/Registration Type: Fictitious Name Permit

License Number: 6521 Primary Status: Current - Active

Address :
9045 BRUCEVILLE ROAD
ELK GROVE CA 95758
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WOODLAND KIDS DENTISTRY AND ORTHODONTICS, DENTAL OFFICE OF ELSEMARY & SALEM DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 16052 Primary Status: Current - Active

Address :
249 CALIFORNIA ST., STE 6
WOODLAND CA 95695
YOLO 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: ELSEMARY, NAGY RAMADAN A

License/Registration Type: Dentist License

License Number: 47882 Primary Status: Expired

Address :
7310 Cordially Way
ELK GROVE CA 95757-6219
SACRAMENTO COUNTY

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