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Licensing details for: 9447

Name: STRAWBERRY CREEK DENTAL GROUP, MIN DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

8211 Bruceville Rd Ste 155
SACRAMENTO CA 95823-2313
SACRAMENTO county
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Practice Location

8211 BRUCEVILLE ROAD, STE. 155
SACRAMENTO CA 95823
SACRAMENTO county
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Issuance Date

July 8, 2011

Expiration Date

September 30, 2020

Current Date / Time

June 6, 2025
10:44:17 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: STROMBERG, LOUIS ZANE

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: STROMBERG, LOUIS ZANE

License/Registration Type: Dentist License

License Number: 30879 Primary Status: Expired

Address :
16868 MAIN STREET
HESPERIA CA 92345
SAN BERNARDINO COUNTY

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