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Licensing details for: 16803

Name: TOOTH FAIRY DENTAL CENTER DENTAL OFFICE OF SUCHETA AMANJEE, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: TOOTH FAIRY DENTAL CENTER DENTAL OFFICE OF SUCHETA AMANJEE AMANJEE DDS INC

Address of Record

141 PARKER STREET SUITE B
VACAVILLE CA 95688
SOLANO county
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Practice Location

141 PARKER STREET SUITE B
VACAVILLE CA 95688
SOLANO county
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Issuance Date

September 30, 2021

Expiration Date

March 31, 2022

Current Date / Time

June 7, 2025
6:52:59 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AMANJEE, SUCHETA SARATHY

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: AMANJEE, SUCHETA SARATHY

License/Registration Type: Dentist License

License Number: 53573 Primary Status: Current - Active

Address :
520 COTTONWOOD STREET, SUITE 3
WOODLAND CA 95695
YOLO COUNTY

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