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Licensing details for: 11038

Name: IMAGE ORTHODONTICS DENTAL PRACTICE, YAN KALIKA, DENTAL CORPORATIO

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2664 BERRYESSA ROAD #108
SAN JOSE CA 95132
SANTA CLARA county
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Practice Location

2664 BARRYESSA ROAD #108
SAN JOSE CA 95132
SANTA CLARA county
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Issuance Date

February 3, 2014

Expiration Date

April 30, 2026

Current Date / Time

June 6, 2025
6:54:6 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KALIKA, YAN

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: KALIKA, YAN

License/Registration Type: Dentist License

License Number: 45886 Primary Status: Current - Active

Address :
3075 Beacon Blvd
WEST SACRAMENTO CA 95691-3462
SACRAMENTO COUNTY

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