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Licensing details for: 11960

Name: BLUE OAK DENTAL ROCKLIN, A DENTAL OFFICE OF ARENA GADE WILKES MIL

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5410 PARK DRIVE
ROCKLIN CA 95765
PLACER county
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Issuance Date

March 30, 2015

Expiration Date

April 30, 2026

Current Date / Time

December 13, 2025
9:48:51 AM

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: WILKES, ALLEN RANDEL

License/Registration Type: Dentist License

License Number: 30985 Primary Status: Current - Active

Address :
15 Sierra Gate Plz
ROSEVILLE CA 95678-6602
PLACER 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: ARENA, MARK EDWARD

License/Registration Type: Dentist License

License Number: 31559 Primary Status: Current - Active

Address :
5410 PARK DRIVE
ROCKLIN CA 95765
PLACER 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: MCCLURE, JEFFREY SCOTT

License/Registration Type: Dentist License

License Number: 43818 Primary Status: Current - Active

Address :
9659 Sterling Pointe Ct
LOOMIS CA 95650-7120
PLACER COUNTY

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