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Licensing details for: 81442

Name: DR. R. SINGH, DDS, A DENTAL CORPORATION, INC.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

19665 S. MOUNTAIN HOUSE PKWY
MOUNTAINHOUSE CA 95391
SAN JOAQUIN county
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Practice Location

19665 S. MOUNTAIN HOUSE PKWY
MOUNTAINHOUSE CA 95391
SAN JOAQUIN county
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Issuance Date

March 1, 2023

Expiration Date

December 31, 2023

Current Date / Time

December 13, 2025
9:46:57 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: SINGH, RAMAN

License/Registration Type: Dentist License

License Number: 58238 Primary Status: Current - Active

Address :
468 N.VENTURA ST
MOUNTAIN HOUSE CA 95391
SAN JOAQUIN COUNTY

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