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Licensing details for: 9442

Name: JEFFERSON AND CHOKKA DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: SUDHAKAR CHOKKA

Address of Record

16475 Sierra Lakes Pkwy
STE. 140
FONTANA CA 92336-1259
SACRAMENTO county
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Issuance Date

September 5, 2007

Expiration Date

November 30, 2018

Current Date / Time

June 6, 2025
2:29:54 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: CHOKKA, SUDHAKAR RAO

License/Registration Type: Dentist License

License Number: 41376 Primary Status: Current - Active

Address :
27949 Greenspot Rd
Ste. H
HIGHLAND CA 92346-4443
SAN BERNARDINO COUNTY

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