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Licensing details for: 79805

Name: YAN KALIKA, DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2990 W. GRANT LINE RD
TRACY CA 95304
SAN JOAQUIN county
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Practice Location

2990 W. GRANT LINE RD
TRACY CA 95304
SAN JOAQUIN county
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Issuance Date

September 25, 2018

Expiration Date

April 30, 2020

Current Date / Time

June 6, 2025
8:43:46 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: KALIKA, YAN

License/Registration Type: Dentist License

License Number: 45886 Primary Status: Current - Active

Address :
3075 Beacon Blvd
WEST SACRAMENTO CA 95691-3462
SACRAMENTO COUNTY

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