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Licensing details for: 12060

Name: AMANDEEP BEHNIWAL D.DS., P.C.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1162 CIRBY WAY
STE 2
ROSEVILLE CA 95661
PLACER county
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Practice Location

1162 CIRBY WAY
STE 2
ROSEVILLE CA 95661
PLACER county
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1162 Cirby Way
Suite 2
ROSEVILLE CA 95661-4479
PLACER county
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Issuance Date

November 9, 2015

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
9:3:31 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: BEHNIWAL, AMANDEEP

License/Registration Type: Dentist License

License Number: 45647 Primary Status: Current - Active

Address :
1700 Rocky Ridge Dr
SUITE 100
ROSEVILLE CA 95661-2818
PLACER COUNTY

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