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Licensing details for: 11212

Name: KALIKA - IVERSON, DDS INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1671 E Monte Vista Ave Ste 200
VACAVILLE CA 95688-3126
SOLANO county
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Practice Location

1671 EAST MONTE VISTA AVENUE #200
VACAVILLE CA 95688
SOLANO county
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Issuance Date

October 3, 2013

Expiration Date

March 31, 2018

Current Date / Time

June 6, 2025
10:19:23 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: IVERSON, THOMAS ALLEN

License/Registration Type: Dentist License

License Number: 33473 Primary Status: Current - Active

Address :
2 Main St
WOODLAND CA 95695-3124
YOLO COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: KALIKA, YAN

License/Registration Type: Dentist License

License Number: 45886 Primary Status: Current - Active

Address :
3075 Beacon Blvd
WEST SACRAMENTO CA 95691-3462
SACRAMENTO COUNTY

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