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Licensing details for: 4158

Name: SANGHA, AMANDEEP KAUR

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Previous Names: BRAR, AMANDEEP KAUR

Address of Record

1101 W Tokay St Ste 1
LODI CA 95240-3842
SAN JOAQUIN county
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Issuance Date

July 20, 2021

Expiration Date

May 31, 2024

Current Date / Time

June 6, 2025
2:26:53 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TLC DENTAL CARE DENTAL PRACTICE OF A.SANGHA DDS PC

License/Registration Type: Fictitious Name Permit

License Number: 16488 Primary Status: Current - Active

Address :
1101 W TOKAY ST., UNIT 1
LODI CA 95240
SAN JOAQUIN 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: SANGHA, AMANDEEP KAUR

License/Registration Type: Dentist License

License Number: 52345 Primary Status: Current - Active

Address :
1101 W Tokay St
Suite#1
LODI CA 95240-3842
SAN JOAQUIN COUNTY

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