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Licensing details for: 81517

Name: AARON REEVES, REEVES SPECIALTY DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: ELK GROVE DENTAL MANAGEMENT COPANY, LLC

Address of Record

2545 EAST BIDWELL ST STE 100
FOLSOM CA 95630
SACRAMENTO county
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Practice Location

2545 EAST BIDWELL ST STE 100
FOLSOM CA 95630
SACRAMENTO county
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Issuance Date

May 16, 2023

Expiration Date

July 31, 2024

Current Date / Time

June 6, 2025
11:45:2 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: 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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