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Licensing details for: 12949

Name: ADVANTAGE DENTAL CARE FOLSOM PRACTICE OF ZANZI DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2700 E. BIDWELL STREET, SUITE 300
FOLSOM CA 95630
SACRAMENTO county
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Practice Location

2700 E. BIDWELL STREET, SUITE 300
FOLSOM CA 95630
SACRAMENTO county
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Issuance Date

June 27, 2016

Expiration Date

February 29, 2020

Current Date / Time

June 7, 2025
12:57:54 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ZANZI, NADER MOHAMED

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: ZANZI, NADER MOHAMED

License/Registration Type: Dentist License

License Number: 52491 Primary Status: Current - Active

Address :
209 LALOMA CT
ROSEVILLE CA 95678
PLACER COUNTY

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