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Licensing details for: 82159

Name: DEVAN DALLA, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2750 N TEXAS STREET #360
FAIRFIELD CA 94533
SOLANO county
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Practice Location

2750 N TEXAS STREET #360
FAIRFIELD CA 94533
SOLANO county
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Issuance Date

April 15, 2025

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
2:24:57 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: 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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