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Licensing details for: 11711

Name: REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2805 NAGLEE ROAD
#150
TRACY CA 95304-7310
SAN JOAQUIN county
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Practice Location

2805 NAGLEE ROAD #150
TRACY CA 95304
SAN JOAQUIN county
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Issuance Date

March 10, 2015

Expiration Date

July 31, 2020

Current Date / Time

June 6, 2025
2:16:0 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: REEVES, AARON PAUL

License/Registration Type: Dentist License

License Number: 47785 Primary Status: Current - Active

Address :
2277 Fair Oaks Blvd
Ste 330
SACRAMENTO CA 95825
SACRAMENTO COUNTY

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