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Licensing details for: 15597

Name: ZEN DENTAL CARE, DENTAL PRACTICE OF MIRABEL CAYCO DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1591 FARMERS LANE
1591 FARMERS LANE
SANTA ROSA CA 95405
SONOMA county
Map

Practice Location

1591 FARMERS LANE
SANTA ROSA CA 95405
SONOMA county
Map

Issuance Date

January 8, 2020

Expiration Date

November 30, 2027

Current Date / Time

April 3, 2026
1:46:51 AM

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: CAYCO-TANGCO, MIRABEL H

License/Registration Type: Dentist License

License Number: 54421 Primary Status: Current - Active

Address Not Disclosed

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