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Licensing details for: 5239

Name: ROCKY RIDGE FAMILY DENTAL OFFICE, AMANDEEP BEHNIWAL, DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

1700 ROCKY RIDGE, STE 100
ROSEVILLE CA 95661
PLACER county
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Issuance Date

October 14, 2004

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
10:12:22 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BEHNIWAL, AMANDEEP

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: BEHNIWAL, AMANDEEP

License/Registration Type: Dentist License

License Number: 45647 Primary Status: Current - Active

Address :
1700 Rocky Ridge Dr
SUITE 100
ROSEVILLE CA 95661-2818
PLACER COUNTY

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