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Licensing details for: 13815

Name: BAY AREA DENTAL SPECIALISTS, DENTAL GROUP OF ASHWINI BHAVE, BDS, DDS, MDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

841 BLOSSOM HILL RD STE 202
SAN JOSE CA 95123
SANTA CLARA county
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Practice Location

841 BLOSSOM HILL RD STE 202
SAN JOSE CA 95123
SANTA CLARA county
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Issuance Date

October 6, 2017

Expiration Date

May 31, 2026

Current Date / Time

June 7, 2025
2:6:45 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BHAVE, ASHWINI SHIRISH

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PANNU, DALVIR SINGH

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: PANNU, DALVIR SINGH

License/Registration Type: Dentist License

License Number: 47148 Primary Status: Current - Active

Address :
2195 Silver View Ct
SAN JOSE CA 95138-2447
SANTA CLARA 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: BHAVE, ASHWINI SHIRISH

License/Registration Type: Dentist License

License Number: 100730 Primary Status: Current - Active

Address Not Disclosed

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