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Licensing details for: 7607

Name: VISHNU SHANKAR, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

9105 BRUCEVILLE ROAD, STE 8
ELK GROVE CA 95758
SACRAMENTO county
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Issuance Date

March 20, 2002

Expiration Date

June 30, 2008

Current Date / Time

June 21, 2025
9:41:52 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: SHANKAR, VISHNU

License/Registration Type: Dentist License

License Number: 39707 Primary Status: Current - Active

Address :
504 Linden Ave
SAN BRUNO CA 94066
SAN MATEO COUNTY

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