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Licensing details for: 17192

Name: MILCOVICH DENTAL ARTS DENTAL GROUP OF MILCOVICH DDS INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1855 SAN MIGUEL DR., SUITE 27
WALNUT CREEK CA 94596
CONTRA COSTA county
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Practice Location

1855 SAN MIGUEL DR., SUITE 27
WALNUT CREEK CA 94596
CONTRA COSTA county
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Issuance Date

June 6, 2022

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
10:47:51 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MILCOVICH, JENNIFER MASTERS

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: MILCOVICH, JENNIFER MASTERS

License/Registration Type: Dentist License

License Number: 100770 Primary Status: Current - Active

Address :
3737 Moraga Ave
Suite A108
SAN DIEGO CA 92117-5404
SAN DIEGO COUNTY

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