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Licensing details for: 20328

Name: Dentists of Fair Oaks, Dental Group of Dentists of Fair Oaks, Inc.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

8854 Madison Ave
FAIR OAKS CA 95628-3908
SACRAMENTO county
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Issuance Date

February 12, 2026

Expiration Date

February 29, 2028

Current Date / Time

April 3, 2026
3:19:36 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: LEE, JASON SANGJAE

License/Registration Type: Dentist License

License Number: 100095 Primary Status: Current - Active

Address :
10910 Olson Dr
Ste 100
RANCHO CORDOVA CA 95670-5643
SACRAMENTO COUNTY

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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: GILL, AMARDEEP KAUR

License/Registration Type: Dentist License

License Number: 50464 Primary Status: Current - Active

Address :
1450 E Main St
Ste 100
WOODLAND CA 95776-6201
YOLO COUNTY

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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: MOKBIL, AHMAD

License/Registration Type: Dentist License

License Number: 101058 Primary Status: Current - Active

Address :
1016 Riley St
1
1016 Riley St
FOLSOM CA 95630-3265

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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: PATEL, DHAVAL RAMAN

License/Registration Type: Dentist License

License Number: 54297 Primary Status: Current - Active

Address :
10357 Fairway Dr
Ste 100
ROSEVILLE CA 95678-3544
PLACER COUNTY

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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: NG, SZE WING

License/Registration Type: Dentist License

License Number: 108843 Primary Status: Current - Active

Address :
1345 TURK ST APT 207
SAN FRANCISCO CA 94115-8720
SAN FRANCISCO COUNTY

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