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Licensing details for: 17906

Name: DK DENTAL CARE DENTAL PRACTICE OF DR. KUMAR

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Mawna Dhamotharan Kumar DDS Inc

Address of Record

12111 ALCOSTA BLVD
SAN RAMON CA 94583
CONTRA COSTA county
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Practice Location

12111 ALCOSTA BLVD
SAN RAMON CA 94583
CONTRA COSTA county
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Issuance Date

June 21, 2023

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
9:49:11 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DHAMOTHARAN KUMAR, MAWNA

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: DHAMOTHARAN KUMAR, MAWNA

License/Registration Type: Dentist License

License Number: 103379 Primary Status: Current - Active

Address :
12111 Alcosta Blvd
SAN RAMON CA 94583-2637
CONTRA COSTA COUNTY

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