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Licensing details for: 19449

Name: CLOVE DENTAL CARE DENTAL PRACTICE OF KRISHNA NEELAGIRI DDS INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

536 ESTUDILLO AVENUE
SAN LEANDRO CA 94577
ALAMEDA county
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Practice Location

536 ESTUDILLO AVENUE
SAN LEANDRO CA 94577
ALAMEDA county
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Issuance Date

April 10, 2025

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
2:3:12 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NEELAGIRI, KRISHNA

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: NEELAGIRI, KRISHNA

License/Registration Type: Dentist License

License Number: 60639 Primary Status: Current - Active

Address :
43625 Mission Blvd
Suite 105
FREMONT CA 94539-5852
ALAMEDA COUNTY

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