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Licensing details for: 168

Name: KAUR, KARMJIT

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Address of Record

1726 TINNIN RD
MANTECA CA 95337
SAN JOAQUIN county
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Practice Location

1801 TULLY RD, SUITE A1
MODESTO CA 95350
STANISLAUS county
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Issuance Date

October 13, 2023

Expiration Date

November 30, 2025

Current Date / Time

June 7, 2025
6:32:24 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SPARKLE KIDS DENTAL CARE, DENTAL OFFICE OF KAUR & BORRERO DDS DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 16288 Primary Status: Current - Active

Address :
1801 TULLY RD., STE A.1
MODESTO CA 95350
STANISLAUS COUNTY

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PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

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

Name: KAUR, KARMJIT

License/Registration Type: Dentist License

License Number: 59660 Primary Status: Current - Active

Address :
1726 TINNIN ROAD
MANTECA CA 95337
SAN JOAQUIN COUNTY

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