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Licensing details for: 9269

Name: APPLE PERIODONTICS & DENTAL IMPLANTS, DENTAL PRACTICE DOREL ONEA

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Previous Names: APPLE PERIODONTICS & DENTAL IMPLANTS

Address of Record

4300 LIVE OAK LANE #A
ROCKLIN CA 95765
PLACER county
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Practice Location

4300 LIVE OAK LANE #A
ROCKLIN CA 95765
PLACER county
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Issuance Date

April 7, 2011

Expiration Date

June 30, 2020

Current Date / Time

December 13, 2025
7:54:17 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: ONEA, DOREL

License/Registration Type: Dentist License

License Number: 45743 Primary Status: Current - Active

Address :
2386 Clubhouse Dr
ROCKLIN CA 95765-5617
PLACER COUNTY

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