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Licensing details for: 15463

Name: KIDS CARE DENTAL-STONECREEK 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

5757 PACIFIC AVE, SUITE A145
STOCKTON CA 95207
SAN JOAQUIN county
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Practice Location

5757 PACIFIC AVE, SUITE A145
STOCKTON CA 95207
SAN JOAQUIN county
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Issuance Date

November 13, 2019

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
1:49:32 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: REEVES, AARON PAUL

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: 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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