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Licensing details for: 4872

Name: MATTHEW R STEFANAC DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

1902 TRACY BLVD
TRACY CA 95376
SAN JOAQUIN county
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Issuance Date

January 25, 1991

Expiration Date

September 30, 2011

Current Date / Time

December 15, 2025
10:43:38 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: STEFANAC, MATTHEW R

License/Registration Type: Dentist License

License Number: 26789 Primary Status: Cancelled

Address :
PO Box 11642
ZEPHYR COVE NV 89448-3642
DOUGLAS COUNTY

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