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Licensing details for: 5948

Name: MARLENE M L MAO DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

1350 S PARK VICTORIA DRIVE
SUITE 41
MILPITAS CA 95035
SANTA CLARA county
Map

Issuance Date

January 29, 1998

Expiration Date

May 31, 1999

Current Date / Time

March 16, 2025
3:54:0 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: MAO, MARLENE MONG-LIEN

License/Registration Type: Dentist License

License Number: 42067 Primary Status: Current - Active

Address :
40 N. PARK VICTORIA DR. #A
MILPITAS CA 95035
SANTA CLARA COUNTY

Map

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