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Licensing details for: 14878

Name: MANGAT DENTAL CENTER, DENTAL PRACTICE OF H.S. MANGAT DDS INC

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1625 TULLY RD STE E
SAN JOSE CA 95122
SANTA CLARA county
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Practice Location

1625 TULLY RD STE E
SAN JOSE CA 95122
SANTA CLARA county
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Issuance Date

March 7, 2019

Expiration Date

March 31, 2025

Current Date / Time

June 6, 2025
2:49:23 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MANGAT, HARDEV 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: MANGAT, HARDEV SINGH

License/Registration Type: Dentist License

License Number: 34157 Primary Status: Current - Active

Address :
1625 TULLY RD
SUITE E
SAN JOSE CA 95122
SANTA CLARA COUNTY

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