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Licensing details for: 14295

Name: ACE DENTAL CARE CHICO DENTAL OFFICE OF DR. C SRINIVAS RAO

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

1074 EAST AVE, STE R
CHICO CA 95926
BUTTE county
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Practice Location

1074 EAST AVE, STE R
CHICO CA 95926
BUTTE county
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Issuance Date

June 21, 2018

Expiration Date

September 30, 2020

Current Date / Time

June 6, 2025
2:0:41 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RAO, CHERUKUPALLI SRINIVAS

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: RAO, CHERUKUPALLI SRINIVAS

License/Registration Type: Dentist License

License Number: 49492 Primary Status: Current - Active

Address :
1074 EAST AVENUE, STE R
CHICO CA 95926
BUTTE COUNTY

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