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Licensing details for: 7697

Name: SUDHA S CHINTA, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

12111 ALCOSTA BLVD
SAN RAMON CA 94583
CONTRA COSTA county
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Issuance Date

June 12, 2002

Expiration Date

November 30, 2023

Current Date / Time

December 13, 2025
11:40:8 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: CHINTA, SUDHA SESHA

License/Registration Type: Dentist License

License Number: 43769 Primary Status: Current - Active

Address :
103 SYCAMORE VALLEY ROAD WEST
DANVILLE CA 94526
CONTRA COSTA COUNTY

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