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Licensing details for: 123

Name: PANNU, DALVIR SINGH

License Type: Moderate Sedation Permit

Primary Status: Expired Primary Status Definition

Address of Record

2195 SILVER VIEW COURT
SAN JOSE CA 95138
SANTA CLARA county
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Practice Location

40880 FREMONT BLVD
FREMONT CA 94538
ALAMEDA county
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Issuance Date

April 6, 2023

Expiration Date

April 30, 2025

Current Date / Time

June 7, 2025
1:52:20 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GREAT SMILES DENTAL, PRACTICE OF DRS. PANNU AND HENNE-BHULLAR

License/Registration Type: Fictitious Name Permit

License Number: 14083 Primary Status: Expired

Address :
3219 MCHENRY AVE STE E
MODESTO CA 95350
STANISLAUS COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PANNU DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 14397 Primary Status: Cancelled

Address :
1117 TASMAN DR
SUNNYVALE CA 94089
SANTA CLARA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PANNU DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 18837 Primary Status: Expired

Address :
1117 TASMAN DRIVE
SUNNYVALE CA 94089

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PANNU DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 14395 Primary Status: Cancelled

Address :
40880 FREMONT BLVD
FREMONT CA 94538
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PANNU DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 14394 Primary Status: Cancelled

Address :
7137 DUBLIN BOULEVARD, STE A
DUBLIN CA 94568
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PANNU DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 14393 Primary Status: Cancelled

Address :
20111 STEVENS CREEK, STE 100
CUPERTINO CA 95014
SANTA CLARA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PANNU DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 14398 Primary Status: Cancelled

Address :
145 N JACKSON AVENUE
SAN JOSE CA 95116
SANTA CLARA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BAY AREA DENTAL SPECIALISTS, DENTAL GROUP OF ASHWINI BHAVE, BDS, DDS, MDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 13815 Primary Status: Current - Active

Address :
841 BLOSSOM HILL RD STE 202
SAN JOSE CA 95123
SANTA CLARA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GROVEHILL DENTAL GROUP RUPAL SHAH, DDS

License/Registration Type: Fictitious Name Permit

License Number: 13233 Primary Status: Expired

Address :
21471 FOOTHILL BLVD, SUITE E
HAYWARD CA 94541
ALAMEDA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PANNU DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 14396 Primary Status: Cancelled

Address :
1569 LEXANN AVENUE, STE 212
SAN JOSE CA 95121
SANTA CLARA COUNTY

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MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: PANNU, DALVIR SINGH

License/Registration Type: Dentist License

License Number: 47148 Primary Status: Current - Active

Address :
2195 Silver View Ct
SAN JOSE CA 95138-2447
SANTA CLARA COUNTY

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