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Licensing details for: 5437

Name: THE CHILDREN'S DENTAL CENTER OF ELK GROVE, DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

9565 LAGUNA SPRINGS DR
ELK GROVE CA 95758
SACRAMENTO county
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Issuance Date

March 29, 2005

Expiration Date

July 31, 2010

Current Date / Time

June 6, 2025
10:49:19 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: REEVES, AARON P

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: REEVES, AARON PAUL

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: REEVES, AARON PAUL

License/Registration Type: Dentist License

License Number: 47785 Primary Status: Current - Active

Address :
2277 Fair Oaks Blvd
Ste 330
SACRAMENTO CA 95825
SACRAMENTO COUNTY

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