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Licensing details for: 3401

Name: FOLSOM DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1840 PRAIRIE CITY RD #200
FOLSOM CA 95630
SACRAMENTO county
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Issuance Date

October 12, 2001

Expiration Date

January 30, 2012

Current Date / Time

June 7, 2025
7:54:6 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: VILDERMAN, YULY

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: VILDERMAN, YULY

License/Registration Type: Dentist License

License Number: 41689 Primary Status: Current - Active

Address :
2233 Post St
Suite 102
SAN FRANCISCO CA 94115-3470
SAN FRANCISCO COUNTY

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