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Licensing details for: 103400

Name: ISLAM, MOHAMMED SHAFAYETUL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1760 N Hornet Ave
CLOVIS CA 93619-8136
FRESNO county
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Contract Location

1760 N Hornet Ave
CLOVIS CA 93619-8136
FRESNO county
Map

Issuance Date

December 5, 2018

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
2:28:33 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CARE AND CURE DENTAL PRACTICE OF MOHAMMED SHAFAYETUL ISLAM DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 16647 Primary Status: Current - Active

Address :
6167 N FRESNO ST
SUITE # 103
FRESNO CA 93710-8610
FRESNO COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: CARE AND CURE DENTAL PRACTICE OF MOHAMMED SHAFAYETUL ISLAM DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 16647 Primary Status: Current - Active

Address :
6167 N FRESNO ST
SUITE # 103
FRESNO CA 93710-8610
FRESNO COUNTY

Map

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