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Licensing details for: 81720

Name: GILL DALLA DENTAL INC

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

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

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

February 2, 2024

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
3:19:56 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: DALLA, DEVAN

License/Registration Type: Dentist License

License Number: 63130 Primary Status: Current - Active

Address :
3108 E PINTAIL WAY
ELK GROVE CA 95757
SACRAMENTO COUNTY

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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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