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Licensing details for: 2999

Name: FAMILY DENTAL PRACTICE, NIKOS MENICOU, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

10005 SAN PABLO AVENUE
EL CERRITO CA 94530
CONTRA COSTA county
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Issuance Date

December 12, 2000

Expiration Date

June 30, 2002

Current Date / Time

December 13, 2025
9:41:24 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: MENICOU, NIKOS MENICOS

License/Registration Type: Dentist License

License Number: 44035 Primary Status: Current - Active

Address :
1109 KENNEDY PLACE, STE. 4
DAVIS CA 95616
YOLO COUNTY

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