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Licensing details for: 13818

Name: STAR PLUS DENTAL, DENTAL OFFICE OF RAJESH CHUNDURI DMD

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1620 W EL CAMINO AVE STE 170
SACRAMENTO CA 95833
SACRAMENTO county
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Practice Location

1620 W EL CAMINO AVE STE 170
SACRAMENTO CA 95833
SACRAMENTO county
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Issuance Date

October 10, 2017

Expiration Date

September 30, 2022

Current Date / Time

June 6, 2025
1:31:19 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHUNDURI, RAJESH

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: CHUNDURI, RAJESH

License/Registration Type: Dentist License

License Number: 61569 Primary Status: Current - Active

Address :
3328 Bordeaux Dr
EL DORADO HILLS CA 95762-3984
EL DORADO COUNTY

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