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Licensing details for: 19435

Name: LIVERMORE DENTAL CARE DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1171 MURRIETA BLVD
LIVERMORE CA 94550
ALAMEDA county
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Issuance Date

April 4, 2025

Expiration Date

April 30, 2027

Current Date / Time

December 13, 2025
9:43:35 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: GIBSON, DAVID WAYNE

License/Registration Type: Dentist License

License Number: 40596 Primary Status: Current - Active

Address :
1171 MURRIETA BLVD
STE 101
LIVERMORE CA 94990
ALAMEDA COUNTY

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