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Licensing details for: 10632

Name: SUNFLOWER DENTAL, DENTAL OFFICE OF DR. SHAZIA RANA

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

1400 SANTA RITA ROAD, STE. D
PLEASANTON CA 94566
ALAMEDA county
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Practice Location

1400 SANTA RITA ROAD, STE. D
PLEASANTON CA 94566
ALAMEDA county
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Issuance Date

August 8, 2013

Expiration Date

January 31, 2018

Current Date / Time

June 6, 2025
2:47:41 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: IQBAL, SHAZIA

Address Not Disclosed

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: IQBAL, SHAZIA

License/Registration Type: Dentist License

License Number: 54895 Primary Status: Current - Active

Address :
1002 W Robinhood Dr
STOCKTON CA 95207-5604
SAN JOAQUIN COUNTY

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