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Licensing details for: 14525

Name: BSC DENTAL SMILES DENTAL PRACTICE OF IFEATU NNEBE, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

2700 E. BIDWELL ST, STE 300
FOLSOM CA 95630
SACRAMENTO county
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Practice Location

2700 E. BIDWELL ST, STE 300
FOLSOM CA 95630
SACRAMENTO county
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Issuance Date

October 22, 2018

Expiration Date

January 31, 2023

Current Date / Time

June 6, 2025
2:0:23 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NNEBE, IFEATU CHIKAODILI

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: NNEBE, IFEATU CHIKAODILI

License/Registration Type: Dentist License

License Number: 65052 Primary Status: Current - Active

Address :
4257 Emerald Gate Ln
FOLSOM CA 95630-6066
SACRAMENTO COUNTY

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