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Licensing details for: 6521

Name: WACKFORD DENTAL CENTER, DENTAL OFFICE OF ELSEMARY & SALEM DENTAL

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: WACKFORD DENTAL CORPORATION

Address of Record

9045 BRUCEVILLE ROAD
ELK GROVE CA 95758
SACRAMENTO county
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Issuance Date

October 22, 2006

Expiration Date

May 31, 2027

Current Date / Time

December 13, 2025
7:54:18 AM

License Relationships

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: ELSEMARY, NAGY RAMADAN A

License/Registration Type: Dentist License

License Number: 47882 Primary Status: Current - Active

Address :
7310 Cordially Way
ELK GROVE CA 95757-6219
SACRAMENTO COUNTY

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