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Licensing details for: 17493

Name: VALLEJO FAMILY DENTISTRY DENTAL GROUP OF KATARIA DENTAL INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

23 ROTARY WAY
VALLEJO CA 94591
SOLANO county
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Practice Location

23 ROTARY WAY
VALLEJO CA 94591
SOLANO county
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Issuance Date

November 8, 2022

Expiration Date

October 31, 2026

Current Date / Time

June 7, 2025
6:57:12 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GUGALE, MONIKA SACHIN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KATARIA, PRIYANKA

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: GUGALE, MONIKA SACHIN

License/Registration Type: Dentist License

License Number: 49104 Primary Status: Current - Active

Address :
941 Spring St
Suite 6
PLACERVILLE CA 95667-4546
EL DORADO 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: KATARIA, PRIYANKA

License/Registration Type: Dentist License

License Number: 101114 Primary Status: Current - Active

Address :
23 ROTARY WAY
VALLEJO CA 94591
SOLANO COUNTY

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