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Licensing details for: 79636

Name: ASHWINI BHAVE, BDS, DDS, MDS, INC

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

841 BLOSSOM HILLS RD STE 202
SAN JOSE CA 95123
SANTA CLARA county
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Practice Location

841 BLOSSOM HILLS RD STE 202
SAN JOSE CA 95123
SANTA CLARA county
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Issuance Date

April 6, 2018

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
2:33:22 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: BHAVE, ASHWINI SHIRISH

License/Registration Type: Dentist License

License Number: 100730 Primary Status: Current - Active

Address Not Disclosed

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: PANNU, DALVIR SINGH

License/Registration Type: Dentist License

License Number: 47148 Primary Status: Current - Active

Address :
2195 Silver View Ct
SAN JOSE CA 95138-2447
SANTA CLARA COUNTY

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