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Licensing details for: 9212

Name: INNOVO DENTAL AND IMPLANT STUDIO LIVERMORE DENTAL OFFICE OF TEJDEEP RATTAN DDS INC

License Type: Mobile Dental Clinic

Primary Status: Current - Active

Qualification: Portable Dental Unit

Address of Record

1376 CONCANNON BLVD
LIVERMORE CA 94550-6004
ALAMEDA county
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Practice Location

1376 Concannon Blvd
LIVERMORE CA 94550-6004
ALAMEDA county
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Issuance Date

July 16, 2024

Expiration Date

December 31, 2026

Current Date / Time

June 6, 2025
1:52:40 AM

License Relationships

MDC to DDS or OMS

License/Registration Role: Mobile Dental Clinic Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: RATTAN, TEJDEEP SINGH

License/Registration Type: Dentist License

License Number: 64387 Primary Status: Current - Active

Address :
919 S Fulton St
MOUNTAIN HOUSE CA 95391-1402
SAN JOAQUIN COUNTY

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