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Licensing details for: 80007

Name: DALLA GILL DENTAL INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

58 W COURT STREET
WOODLAND CA 95695
YOLO county
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Practice Location

58 W COURT STREET
WOODLAND CA 95695
YOLO county
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Issuance Date

March 7, 2019

Expiration Date

January 31, 2023

Current Date / Time

June 6, 2025
2:25:29 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: DALLA, DEVAN

License/Registration Type: Dentist License

License Number: 63130 Primary Status: Current - Active

Address :
3108 E PINTAIL WAY
ELK GROVE CA 95757
SACRAMENTO COUNTY

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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: GILL, AMANDEEP SINGH

License/Registration Type: Dentist License

License Number: 61025 Primary Status: Current - Active

Address :
1548 MAEHL DR
MANTECA CA 95337
SAN JOAQUIN COUNTY

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