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Licensing details for: 79158

Name: JOSEPH RAWLINS DDS DENTAL CORP

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

569 W Lowell Ave
#200
TRACY CA 95376-3081
SAN JOAQUIN county
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Practice Location

569 W Lowell Ave
#200
TRACY CA 95376-3081
SAN JOAQUIN county
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Issuance Date

November 23, 2016

Expiration Date

November 30, 2017

Current Date / Time

June 7, 2025
7:41:39 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: RAWLINS, JOSEPH T

License/Registration Type: Dentist License

License Number: 56958 Primary Status: Current - Active

Address :
4420 TOWN CENTER BLVD.
SUITE #220
EL DORADO HILLS CA 95762
EL DORADO COUNTY

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