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Licensing details for: 13121

Name: DELIGHT DENTAL, PRACTICE OF SETTY DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

1705 Branham Ln
SUITE B4
SAN JOSE CA 95118-5222
SANTA CLARA county
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Practice Location

1705 Branham Ln
SUITE B4
SAN JOSE CA 95118-5222
SANTA CLARA county
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Issuance Date

October 28, 2016

Expiration Date

June 30, 2019

Current Date / Time

June 6, 2025
10:16:33 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: POTTI, MADHAVI

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: POTTI, MADHAVI

License/Registration Type: Dentist License

License Number: 51999 Primary Status: Current - Active

Address :
6400 Village Pkwy
Suite 100
DUBLIN CA 94568-2448
ALAMEDA COUNTY

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