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Licensing details for: 82058

Name: KHALED ENTABI, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2682 NAGLEE RD., SUITE 110
TRACY CA 95304
SAN JOAQUIN county
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Practice Location

2682 NAGLEE RD., SUITE 110
TRACY CA 95304
SAN JOAQUIN county
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Issuance Date

February 13, 2025

Expiration Date

December 31, 2025

Current Date / Time

June 7, 2025
7:41:38 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: ENTABI, KHALED

License/Registration Type: Dentist License

License Number: 56401 Primary Status: Current - Active

Address :
2600 S TRACY BL
STE 170
TRACY CA 95376
SAN JOAQUIN COUNTY

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