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Licensing details for: 11567

Name: DALVIR PANNU DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Previous Names: DALVIR PANNU DDS, INC.

Address of Record

1569 LEXANN AVENUE
SUITE 212
SAN JOSE CA 95121
SANTA CLARA county
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Practice Location

1569 LEXANN AVENUE
SUITE 212
SAN JOSE CA 95121
SANTA CLARA county
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Issuance Date

September 25, 2014

Expiration Date

April 30, 2023

Current Date / Time

June 7, 2025
3:18:10 PM

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: PANNU, DALVIR SINGH

License/Registration Type: Dentist License

License Number: 47148 Primary Status: Current - Active

Address :
2195 Silver View Ct
SAN JOSE CA 95138-2447
SANTA CLARA COUNTY

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