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Licensing details for: 103758

Name: ALAZZEH, EMAD KEVIN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1094 CHESHIRE CIR
DANVILLE CA 94506
CONTRA COSTA county
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Issuance Date

June 10, 2019

Expiration Date

August 31, 2025

Current Date / Time

June 22, 2025
8:53:18 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GRAND OAK DENTAL CARE FAMILY AND COSMETIC DENTISTRY DENTAL OFFICE OF DR. EMAD K. ALAZZEH

License/Registration Type: Fictitious Name Permit

License Number: 17904 Primary Status: Current - Active

Address :
2390 Country Hills Dr Ste 105
ANTIOCH CA 94509-7437
CONTRA COSTA 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: GRAND OAK DENTAL CARE FAMILY AND COSMETIC DENTISTRY DENTAL OFFICE OF DR. EMAD K. ALAZZEH

License/Registration Type: Fictitious Name Permit

License Number: 17904 Primary Status: Current - Active

Address :
2390 Country Hills Dr Ste 105
ANTIOCH CA 94509-7437
CONTRA COSTA COUNTY

Map

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