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Licensing details for: 80410

Name: JUDGE DENTAL PC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1100 EAST PARK ST
HOLLISTER CA 95023
SAN BENITO county
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Practice Location

1100 EAST PARK ST
HOLLISTER CA 95023
SAN BENITO county
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Issuance Date

December 4, 2019

Expiration Date

March 31, 2023

Current Date / Time

June 6, 2025
2:29:12 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: JUDGE, GURSIMRAT KAUR

License/Registration Type: Dentist License

License Number: 100904 Primary Status: Current - Active

Address :
1370 Holiday Ln Ste D
FAIRFIELD CA 94534-3426
SOLANO COUNTY

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