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Licensing details for: 5882

Name: LINCOLN HILLS FAMILY DENTAL , DENTAL GROUP OF

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Address of Record

2295 FIELDSTONE, STE 100
LINCOLN CA 95648
PLACER county
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Issuance Date

December 23, 2005

Expiration Date

October 31, 2023

Current Date / Time

June 6, 2025
7:5:3 PM

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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