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Licensing details for: 13382

Name: ORA DENTISTRY

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2733 ELK GROVE BLVD
ELK GROVE CA 95758
SACRAMENTO county
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Practice Location

2733 ELK GROVE BLVD STE 180
ELK GROVE CA 95758
SACRAMENTO county
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Issuance Date

March 22, 2017

Expiration Date

November 30, 2027

Current Date / Time

December 13, 2025
7:54:17 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: DALLA, DEVAN

License/Registration Type: Dentist License

License Number: 63130 Primary Status: Current - Active

Address :
4831 Bilby Rd
ELK GROVE CA 95757-9753
SACRAMENTO COUNTY

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