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Licensing details for: 10601

Name: PLEASANT HILL SMILES DENTAL GROUP, EVA BENDER DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: PLEASANT HILL SMILES DENTAL GROUP EVA BENDER DENTAL CORPORATION

Address of Record

2380 MONUMENT BOULEVARD, STE. F
PLEASANT HILL CA 94523
CONTRA COSTA county
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Practice Location

2380 MONUMENT BOULEVARD, STE. F
PLEASANT HILL CA 94523
CONTRA COSTA county
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Issuance Date

August 2, 2013

Expiration Date

June 30, 2023

Current Date / Time

November 2, 2025
3:29:41 PM

License Relationships

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

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

Name: GILL, AMARDEEP KAUR

License/Registration Type: Dentist License

License Number: 50464 Primary Status: Current - Active

Address :
1450 E Main St
Ste 100
WOODLAND CA 95776-6201
YOLO COUNTY

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FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

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

Name: BENDER, EVA RENEE

License/Registration Type: Dentist License

License Number: 54453 Primary Status: Current - Active

Address :
707 Parnassus Ave
D-1020
SAN FRANCISCO CA 94143-2210
SAN FRANCISCO COUNTY

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FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

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

Name: LAMBRIDIS, DEAN

License/Registration Type: Dentist License

License Number: 51199 Primary Status: Current - Active

Address :
30831 MARSEILLE WAY
WESTLAKE VILLAGE CA 91362
VENTURA COUNTY

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FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

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

Name: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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