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Licensing details for: 15250

Name: TOOTH FAIRY DENTAL CENTER DENTAL OFFICE OF DR. SUCHETA AMANJEE DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

790 ATLANTIC STREET
ROSEVILLE CA 95678
PLACER county
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Practice Location

790 ATLANTIC STREET
ROSEVILLE CA 95678
PLACER county
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Issuance Date

August 19, 2019

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
9:55:36 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AMANJEE, SARATHY SRINIVASAN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AMANJEE, SUCHETA SARATHY

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: AMANJEE, SUCHETA SARATHY

License/Registration Type: Dentist License

License Number: 53573 Primary Status: Current - Active

Address :
520 COTTONWOOD STREET, SUITE 3
WOODLAND CA 95695
YOLO COUNTY

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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: AMANJEE, SARATHY SRINIVASAN

License/Registration Type: Dentist License

License Number: 49449 Primary Status: Current - Active

Address :
790 Atlantic St
ROSEVILLE CA 95678-1806
PLACER COUNTY

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