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Licensing details for: 9222

Name: SUDHA CHINTA, DDS, A PROF. DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: SUDHA CHINTA DDS

Address of Record

2242 W. GRANT LINE RD.
STE. 102
TRACY CA 95377
SAN JOAQUIN county
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Issuance Date

October 18, 2006

Expiration Date

November 30, 2009

Current Date / Time

December 13, 2025
9:46:50 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: CHINTA, SUDHA SESHA

License/Registration Type: Dentist License

License Number: 43769 Primary Status: Current - Active

Address :
103 SYCAMORE VALLEY ROAD WEST
DANVILLE CA 94526
CONTRA COSTA COUNTY

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