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Licensing details for: 305

Name: DALLA, DEVAN

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

3108 E PINTAIL WAY
ELK GROVE CA 95757
SACRAMENTO county
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Practice Location

2733 ELK GROVE BLVD, STE 180
ELK GROVE CA 95758
SACRAMENTO county
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Issuance Date

November 3, 2023

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
2:14:54 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MODERN DENTAL AND IMPLANTS, DENTAL OFFICE OF GILL DALLA DENTAL INC.

License/Registration Type: Fictitious Name Permit

License Number: 18480 Primary Status: Current - Active

Address :
601 W KETTLEMAN LANE
LODI CA 95240
SAN JOAQUIN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ALORA DENTISTRY, DENTAL OFFICE OF DALLA DENTAL GROUP NAPA INC.

License/Registration Type: Fictitious Name Permit

License Number: 19457 Primary Status: Current - Active

Address :
917 TRANCAS ST
NAPA CA 94558
NAPA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAGUNA WEST DENTAL CARE DENTAL OFFICE OF DR. DEVAN DALLA

License/Registration Type: Fictitious Name Permit

License Number: 18991 Primary Status: Current - Active

Address :
9098 LAGUNA MAIN ST , #8
ELK GROVE CA 95758
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SUNRISE DENTAL & IMPLANT CENTER, DENTAL OFFICE OF DALLA DENTAL GROUP FAIRFIELD INC.

License/Registration Type: Fictitious Name Permit

License Number: 19461 Primary Status: Current - Active

Address :
2750 N TEXAS STREET #360
FAIRFIELD CA 94533
SOLANO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ORA DENTISTRY

License/Registration Type: Fictitious Name Permit

License Number: 13382 Primary Status: Current - Active

Address :
2733 ELK GROVE BLVD STE 180
ELK GROVE CA 95758
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WOODLAND FAMILY DENTAL GROUP DALLA

License/Registration Type: Fictitious Name Permit

License Number: 18479 Primary Status: Current - Active

Address :
58 W COURT STREET
WOODLAND CA 95965
BUTTE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DNTL HUB DENTAL PRACTICE OF DALLA DENTAL GROUP GALT INC.

License/Registration Type: Fictitious Name Permit

License Number: 19089 Primary Status: Current - Active

Address :
10360 TWIN CITIES ROAD #10
GALT CA 95632
SACRAMENTO 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: DALLA, DEVAN

License/Registration Type: Dentist License

License Number: 63130 Primary Status: Current - Active

Address :
3108 E PINTAIL WAY
ELK GROVE CA 95757
SACRAMENTO COUNTY

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