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Licensing details for: 18327

Name: ASPEN DENTAL PRACTICE OF JUDGE DENTAL PC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

445 MADONNA RD STE C
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO county
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Practice Location

445 MADONNA RD STE C
SAN LUIS OBISPO CA 93405
SAN LUIS OBISPO county
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Issuance Date

January 2, 2024

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
1:59:49 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: JUDGE, GURSIMRAT KAUR

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: JUDGE, GURSIMRAT KAUR

License/Registration Type: Dentist License

License Number: 100904 Primary Status: Current - Active

Address :
1370 Holiday Ln Ste D
FAIRFIELD CA 94534-3426
SOLANO COUNTY

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