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Licensing details for: 17631

Name: HIGHLAND DENTAL GROUP, JOESTING DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3291 STANFORD RANCH ROAD., SUITE 102
ROCKLIN CA 95765
PLACER county
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Practice Location

3291 STANFORD RANCH ROAD., SUITE 102
ROCKLIN CA 95765
PLACER county
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Issuance Date

January 26, 2023

Expiration Date

July 31, 2026

Current Date / Time

December 13, 2025
1:44:26 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: GILL, AMARDEEP KAUR

License/Registration Type: Dentist License

License Number: 50464 Primary Status: Current - Active

Address :
1450 E Main St
Ste 100
WOODLAND CA 95776-6201
YOLO 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: LOPEZ, MICHAEL JAMES

License/Registration Type: Dentist License

License Number: 57591 Primary Status: Current - Active

Address :
1556 Aria Ct
LIVERMORE CA 94550-6077
ALAMEDA 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: PATEL, DHAVAL RAMAN

License/Registration Type: Dentist License

License Number: 54297 Primary Status: Current - Active

Address :
10357 Fairway Dr
Ste 100
ROSEVILLE CA 95678-3544
PLACER 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: JOESTING, MICHAEL DAVID

License/Registration Type: Dentist License

License Number: 60714 Primary Status: Current - Active

Address :
3291 Stanford Ranch Rd
Ste 102
ROCKLIN CA 95765-5577
PLACER COUNTY

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