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Licensing details for: 15211

Name: LAKEFRONT SMILES DENTAL GROUP OF PUSHPINDER SETHI, DDS INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

4707 QUAIL LAKES DRIVE SUITE - 200 - B
STOCKTON CA 95207
SAN JOAQUIN county
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Practice Location

4707 QUAIL LAKES DRIVE SUITE - 200 - B
STOCKTON CA 95207
SAN JOAQUIN county
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Issuance Date

August 2, 2019

Expiration Date

January 31, 2026

Current Date / Time

June 6, 2025
1:19:5 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SETHI, PUSHPINDER

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: SETHI, PUSHPINDER

License/Registration Type: Dentist License

License Number: 62931 Primary Status: Current - Active

Address :
4707 QUAIL LAKES DR #200B
STOCKTON CA 95207
SAN JOAQUIN COUNTY

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