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Licensing details for: 3559

Name: Javdan, Behdad

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

1521 Diamond Park Ln
ROSEVILLE CA 95747-4611
PLACER county
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Practice Location

1115 12th St
#2A
SACRAMENTO CA 95814-3903
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11858 Bernardo Plaza Ct
Suite 270
SAN DIEGO CA 92128-2439
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12344 Fair Oaks Blvd
FAIR OAKS CA 95628-2546
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1424 Blue Oaks Blvd
ROSEVILLE CA 95747
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1430 Alhambra Blvd #100
SACRAMENTO CA 95816
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195 Blue Ravine Rd Ste 200
FOLSOM CA 95630-4723
SACRAMENTO county
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2436 Professional Dr Ste 200
ROSEVILLE CA 95661-7779
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3927 Waring Rd Ste E
OCEANSIDE CA 92056-4458
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6611 Coyle Ave
CARMICHAEL CA 95608-6311
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79 Scripps Dr Ste 203
SACRAMENTO CA 95825-6208
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8950 Villa La Jolla Dr
Ste B10
LA JOLLA CA 92037-1714
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9280 Mast Blvd
SANTEE CA 92071-2150
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Issuance Date

November 22, 2016

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
10:6:37 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NORTH COUNTY PERIODONTICS & IMPLANT DENTISTRY DENTAL PRACTICE OF JAVDAN DENTAL INC.

License/Registration Type: Fictitious Name Permit

License Number: 18212 Primary Status: Current - Active

Address :
3927 WARING RD STE E
OCEANSIDE CA 92056
SAN DIEGO 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: Javdan, Behdad

License/Registration Type: Dentist License

License Number: 100274 Primary Status: Current - Active

Address :
1424 Blue Oaks Blvd
ROSEVILLE CA 95747

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