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Licensing details for: 4357

Name: FIRST CHOICE DENTAL CARE, DENTAL PRACTICE OF

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1625 TULLY ROAD, STE B
SAN JOSE CA 95122
SANTA CLARA county
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Issuance Date

July 14, 2003

Expiration Date

March 31, 2015

Current Date / Time

June 6, 2025
1:36:4 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MANGAT, HARDEV SINGH

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: MANGAT, HARDEV SINGH

License/Registration Type: Dentist License

License Number: 34157 Primary Status: Current - Active

Address :
1625 TULLY RD
SUITE E
SAN JOSE CA 95122
SANTA CLARA COUNTY

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