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Licensing details for: 80257

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

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

115 SPRECKLES AVE
MANTECA CA 95336
SAN JOAQUIN county
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Practice Location

115 SPRECKLES AVE
MANTECA CA 95336
SAN JOAQUIN county
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Issuance Date

August 28, 2019

Expiration Date

July 31, 2020

Current Date / Time

June 6, 2025
3:31:55 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: KARKAR, ISSA GEORGE

License/Registration Type: Dentist License

License Number: 36666 Primary Status: Current - Active

Address :
490 POST STREET, #808
SAN FRANCISCO CA 94102
SAN FRANCISCO 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: 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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