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Licensing details for: 15831

Name: DUBLIN ENDODONTICS DENTAL PRACTICE OF M. POTTI DDS MSD INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

6400 VILLAGE PARKWAY SUITE 100
DUBLIN CA 94568
ALAMEDA county
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Practice Location

6400 VILLAGE PARKWAY SUITE 100
DUBLIN CA 94568
ALAMEDA county
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Issuance Date

June 3, 2020

Expiration Date

June 30, 2025

Current Date / Time

June 6, 2025
6:58:9 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: POTTI, MADHAVI

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: POTTI, MADHAVI

License/Registration Type: Dentist License

License Number: 51999 Primary Status: Current - Active

Address :
6400 Village Pkwy
Suite 100
DUBLIN CA 94568-2448
ALAMEDA COUNTY

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