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Licensing details for: 16251

Name: IMAGE ORTHODONTICS DENTAL PRACTICE OF YAN KALIKA DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2400 WESTBOROUGH BLVD. SUITE 208
SOUTH SAN FRANCISCO CA 94080
SAN MATEO county
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Practice Location

2400 WESTBOROUGH BLVD. SUITE 208
SOUTH SAN FRANCISCO CA 94080
SAN MATEO county
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Issuance Date

February 1, 2021

Expiration Date

April 30, 2026

Current Date / Time

December 13, 2025
1:53:46 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: KALIKA, YAN

License/Registration Type: Dentist License

License Number: 45886 Primary Status: Current - Active

Address :
3075 Beacon Blvd
WEST SACRAMENTO CA 95691-3462
SACRAMENTO COUNTY

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