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Licensing details for: 16052

Name: WOODLAND KIDS DENTISTRY AND ORTHODONTICS, DENTAL OFFICE OF ELSEMARY & SALEM DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

249 CALIFORNIA ST., STE 6
WOODLAND CA 95695
YOLO county
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Practice Location

249 CALIFORNIA ST., STE 6
WOODLAND CA 95695
YOLO county
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Issuance Date

October 7, 2020

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
6:47:34 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SALEM, AHMED

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ELSEMARY, NAGY RAMADAN A

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: ELSEMARY, NAGY RAMADAN A

License/Registration Type: Dentist License

License Number: 47882 Primary Status: Expired

Address :
7310 Cordially Way
ELK GROVE CA 95757-6219
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: SALEM, AHMED

License/Registration Type: Dentist License

License Number: 50364 Primary Status: Current - Active

Address :
9707 Blansfield Way
ELK GROVE CA 95757-4021
SACRAMENTO COUNTY

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