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Licensing details for: 13015

Name: SANTA TERESA FAMILY DENTAL DENTAL OFFICE OF GAURI MADAAN, DMD, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

6134 CAMINO VERDE DRIVE, SUITE F
SAN JOSE CA 95119
SANTA CLARA county
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Practice Location

6134 CAMINO VERDE DRIVE, SUITE F
SAN JOSE CA 95119
SANTA CLARA county
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Issuance Date

August 2, 2016

Expiration Date

January 31, 2026

Current Date / Time

June 6, 2025
1:29:40 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MADAAN, GAURI

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: MADAAN, GAURI

License/Registration Type: Dentist License

License Number: 62531 Primary Status: Current - Active

Address :
6134 Camino Verde Dr
Suite F
SAN JOSE CA 95119-1431
SANTA CLARA COUNTY

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