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Licensing details for: 103607

Name: GHIBU, ANA C

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2956 Sparrow Dr
FULLERTON CA 92835-2322
ORANGE county
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Practice Location

32391 Camino Capistrano
B
SAN JUAN CAPISTRANO CA 92675-4519
ORANGE county
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Issuance Date

March 29, 2019

Expiration Date

July 31, 2026

Current Date / Time

June 7, 2025
2:49:55 AM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: ANA GHIBU, DDS

License/Registration Type: Additional Office Permit

License Number: 81849 Primary Status: Current - Active

Address :
32391 CAMINO CAPISTRANO #B
2914 - SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DENTISTS OF SAN JUAN CAPISTRANO DENTAL GROUP, GHIBU DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18731 Primary Status: Current - Active

Address :
32391 CAMINO CAPISTRANO #B
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY

Map

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: DENTISTS OF SAN JUAN CAPISTRANO DENTAL GROUP, GHIBU DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18731 Primary Status: Current - Active

Address :
32391 CAMINO CAPISTRANO #B
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY

Map

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