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Licensing details for: 14398

Name: PANNU DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

145 N JACKSON AVENUE
SAN JOSE CA 95116
SANTA CLARA county
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Practice Location

145 N JACKSON AVENUE
SAN JOSE CA 95116
SANTA CLARA county
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Issuance Date

August 9, 2018

Expiration Date

March 8, 2019

Current Date / Time

June 7, 2025
7:59:27 PM

License Relationships

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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