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Licensing details for: 82734

Name: HARRIS KHATTAK, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Yuba City Modern Dentistry, Inc.

Address of Record

995 Tharp Road, Suite B
YUBA CITY CA 95993
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Issuance Date

March 19, 2026

Expiration Date

August 31, 2027

Current Date / Time

April 3, 2026
6:22:07 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: KHATTAK, HARRIS KHAN

License/Registration Type: Dentist License

License Number: 103963 Primary Status: Current - Active

Address :
4184 Molten Creek Way
ROSEVILLE CA 95747-4556
PLACER COUNTY

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