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Licensing details for: 14882

Name: PALO ALTO ORAL HEALTH DENTAL PRACTICE OF SHIV SHARMA DDS INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

2875 MIDDLEFIELD ROAD., SUITE 1
PALO ALTO CA 94306
SANTA CLARA county
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Practice Location

2875 MIDDLEFIELD ROAD., SUITE 1
PALO ALTO CA 94306
SANTA CLARA county
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Issuance Date

March 8, 2019

Expiration Date

October 31, 2021

Current Date / Time

June 6, 2025
1:52:5 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHARMA, SHIV SHANKER

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: SHARMA, SHIV SHANKER

License/Registration Type: Dentist License

License Number: 65221 Primary Status: Current - Active

Address :
2875 Middlefield Rd
Ste 1
PALO ALTO CA 94306-2554
SANTA CLARA COUNTY

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