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Licensing details for: 5318

Name: SOLANO-VILLE DENTAL OFFICE, AILEEN MANZANO, DMD, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

3000 ALAMO DR, STE 108
VACAVILLE CA 95687
SOLANO county
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Issuance Date

January 10, 2005

Expiration Date

February 28, 2022

Current Date / Time

June 6, 2025
6:37:53 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MANZANO, AILEEN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MANZANO, AILEEN VELARDE

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: MANZANO, AILEEN VELARDE

License/Registration Type: Dentist License

License Number: 45731 Primary Status: Current - Active

Address :
3000 Alamo Dr. Ste 108
VACAVILLE CA 95687
SOLANO COUNTY

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