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Licensing details for: 80597

Name: AMANDEEP GILL, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

601 W KETTLEMAN LN
LODI CA 95240
SAN JOAQUIN county
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Practice Location

601 W KETTLEMAN LN
LODI CA 95240
SAN JOAQUIN county
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Issuance Date

June 18, 2020

Expiration Date

January 31, 2023

Current Date / Time

June 7, 2025
3:32:4 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: 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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