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Licensing details for: 13888

Name: DENTAL SPECIALISTS OF ROSEVILLE, DENTAL GROUP OF AMANDEEP BEHNIWAL DDS, PC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1162 CIRBY WAY STE 2
ROSEVILLE CA 95661
PLACER county
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Practice Location

1162 CIRBY WAY STE 2
ROSEVILLE CA 95661
PLACER county
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Issuance Date

November 30, 2017

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
7:5:37 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BEHNIWAL, AMANDEEP

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: BEHNIWAL, AMANDEEP

License/Registration Type: Dentist License

License Number: 45647 Primary Status: Current - Active

Address :
1700 Rocky Ridge Dr
SUITE 100
ROSEVILLE CA 95661-2818
PLACER COUNTY

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