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Licensing details for: 80111

Name: REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2277 FAIR OAKS BLVD STE 330
SACRAMENTO CA 95825
SACRAMENTO county
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Practice Location

2277 FAIR OAKS BLVD STE 330
SACRAMENTO CA 95825
SACRAMENTO county
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Issuance Date

June 17, 2019

Expiration Date

July 31, 2020

Current Date / Time

June 6, 2025
9:57:29 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: REEVES, AARON PAUL

License/Registration Type: Dentist License

License Number: 47785 Primary Status: Current - Active

Address :
2277 Fair Oaks Blvd
Ste 330
SACRAMENTO CA 95825
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: LAVALLEY, SAMUEL JOSEPH JR

License/Registration Type: Dentist License

License Number: 62274 Primary Status: Cancelled

Address :
3211 14TH AVENUE
MENOMINEE MI 49858
MENOMINEE COUNTY

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