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Licensing details for: 11826

Name: ROCKLIN MODERN DENTISTRY DENTAL GROUP, RICKY V. TRAN DENTAL CORPO

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: ROCKLIN MODERN DENTISTRY DENTAL GROUP RICKY V. TRAN DENTAL CORPORATION

Address of Record

5182 COMMONS DRIVE
SUITE 101
ROCKLIN CA 95677
PLACER county
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Practice Location

5182 COMMONS DRIVE
SUITE 101
ROCKLIN CA 95677
PLACER county
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Issuance Date

January 26, 2015

Expiration Date

December 31, 2025

Current Date / Time

November 2, 2025
3:29:40 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: 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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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: TRAN, RICKY VAN

License/Registration Type: Dentist License

License Number: 55951 Primary Status: Current - Active

Address :
5182 Commons Dr, Ste 101
ROCKLIN CA 95677
PLACER COUNTY

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