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Licensing details for: 80261

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

1361 S LOWER SACRAMENTO RD, 601
LODI CA 95242
SAN JOAQUIN county
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Practice Location

1361 S LOWER SACRAMENTO RD, 601
LODI CA 95242
SAN JOAQUIN county
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Issuance Date

August 28, 2019

Expiration Date

July 31, 2022

Current Date / Time

December 13, 2025
9:47:30 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: 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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