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Licensing details for: 82233

Name: VISHNU SHANKAR, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5611 LONE TREE WAY, SUITE 140
BRENTWOOD CA 94513
CONTRA COSTA county
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Practice Location

5611 LONE TREE WAY, SUITE 140
BRENTWOOD CA 94513
CONTRA COSTA county
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Issuance Date

May 22, 2025

Expiration Date

June 30, 2026

Current Date / Time

June 22, 2025
12:30:43 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: SHANKAR, VISHNU

License/Registration Type: Dentist License

License Number: 39707 Primary Status: Current - Active

Address :
504 Linden Ave
SAN BRUNO CA 94066
SAN MATEO COUNTY

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