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Licensing details for: 895

Name: KAHBODY, TARANEH

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

4690 Natomas Blvd
Ste 100
SACRAMENTO CA 95835-2230
PLACER county
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Issuance Date

March 8, 2006

Expiration Date

December 31, 2026

Current Date / Time

June 6, 2025
2:57:50 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GRANITE BAY SMILES DENTISTRY DENTAL GROUP KAHBODY DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13264 Primary Status: Cancelled

Address :
8630 SIERRA COLLEGE BOULEVARD, STE 110
ROSEVILLE CA 95661
PLACER COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE DESIGNS OF ROCKLIN, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 5181 Primary Status: Cancelled

Address :
6000 FAIRWAY, STE 18
ROCKLIN CA 95677
PLACER 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: KAHBODY, TARANEH

License/Registration Type: Dentist License

License Number: 42058 Primary Status: Current - Active

Address :
4690 Natomas Blvd
Ste 100
SACRAMENTO CA 95835-2230
SACRAMENTO COUNTY

Map

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