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Licensing details for: 15307

Name: KIDS CARE DENTAL TRACY-DENTAL PRACTICE OF REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2805 NAGLEE RD., 150
TRACY CA 95304
SAN JOAQUIN county
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Practice Location

2805 NAGLEE RD., 150
TRACY CA 95304
SAN JOAQUIN county
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Issuance Date

September 4, 2019

Expiration Date

July 31, 2026

Current Date / Time

October 30, 2025
9:55:54 PM

License Relationships

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: REEVES, AARON PAUL

License/Registration Type: Dentist License

License Number: 47785 Primary Status: Current - Active

Address :
2277 Fair Oaks Blvd
Ste 330
SACRAMENTO CA 95825
SACRAMENTO 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: KARKAR, ISSA GEORGE

License/Registration Type: Dentist License

License Number: 36666 Primary Status: Current - Active

Address :
490 POST STREET, #808
SAN FRANCISCO CA 94102
SAN FRANCISCO COUNTY

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