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Licensing details for: 18956

Name: ADVANCED ENDODONTICS DENTAL PRACTICE OF JUSTIN WU DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1144 SONOMA AVE STE 119
SANTA ROSA CA 95405
SONOMA county
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Practice Location

1144 SONOMA AVE STE 119
SANTA ROSA CA 95405
SONOMA county
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Issuance Date

September 25, 2024

Expiration Date

March 31, 2026

Current Date / Time

December 13, 2025
9:42:29 AM

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: WU, JUSTIN YING-CHIN

License/Registration Type: Dentist License

License Number: 101308 Primary Status: Current - Active

Address :
1144 Sonoma Ave
Suite 119
SANTA ROSA CA 95405-4812
SONOMA COUNTY

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