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Licensing details for: 14137

Name: REDFORD SMILES DENTAL GROUP, MARK REDFORD, D.M.D.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

79 SCRIPPS DR STE 204
SACRAMENTO CA 95825
SACRAMENTO county
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Practice Location

79 SCRIPPS DR STE 204
SACRAMENTO CA 95825
SACRAMENTO county
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Issuance Date

April 6, 2018

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
2:6:23 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: REDFORD, MARK WILLIAM

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: REDFORD, MARK WILLIAM

License/Registration Type: Dentist License

License Number: 60371 Primary Status: Current - Active

Address :
79 Scripps Dr Ste 204
SACRAMENTO CA 95825-6208
SACRAMENTO COUNTY

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