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Licensing details for: 7541

Name: PETALUMA DENTAL ASSOCIATES, DENTAL OFFICE OF D. KUNDRA, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: DUBLIN DENTAL ASSOCIATES, DENTAL OFFICE OF D. KUNDRA, DDS, INC. DUBLIN DENTAL

Address of Record

1580 E. WASHINGTON ST.
STE. 107
PETALUMA CA 94954
SONOMA county
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Issuance Date

July 28, 2008

Expiration Date

July 31, 2015

Current Date / Time

June 6, 2025
10:14:28 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KUNDRA, DARPAN

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: KUNDRA, DARPAN

License/Registration Type: Dentist License

License Number: 55871 Primary Status: Current - Active

Address :
1212 Solano Ave
B
786-348-5282
VALLEJO CA 94590-7019
SOLANO COUNTY

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