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Licensing details for: 82336

Name: DEEPIKA DHAMA, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Grand Terrace Modern Dentistry, Inc.

Address of Record

22471 Barton Road
GRAND TERRACE CA 92313
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Issuance Date

August 20, 2025

Expiration Date

December 31, 2027

Current Date / Time

December 15, 2025
9:13:53 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: DHAMA, DEEPIKA S

License/Registration Type: Dentist License

License Number: 49044 Primary Status: Current - Active

Address :
2044 California Ave
CORONA CA 92881-3300
RIVERSIDE COUNTY

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