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Licensing details for: 17684

Name: GHOLDOIAN, GEORGE S

License Type: Dentist

Primary Status: Cancelled

Secondary Status: Radiation Safety Certification

Address of Record

19501 SUMMER BREEZE LANE
HUNTINGTON BEACH CA 92648
ORANGE county
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Issuance Date

January 1, 1964

Expiration Date

July 31, 2018

Current Date / Time

December 13, 2025
4:45:7 PM

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: A MICHELS, G GHOLDOIAN AND D GALLO PROFESSIONAL DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 7890 Primary Status: Cancelled

Address :
15706 POMERADO RD, #201
POWAY CA 92064
SAN DIEGO COUNTY

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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: GEORGE S GHOLDOIAN, DDS, INC

License/Registration Type: Additional Office Permit

License Number: 8034 Primary Status: Cancelled

Address :
10445 LAKEWOOD BL
DOWNEY CA 90241
LOS ANGELES COUNTY

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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: A MICHAELS, G GHOLDOIAN, AND D GALLO PROFESSIONAL DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 7896 Primary Status: Cancelled

Address :
2720 FLETCHER PKWY
EL CAJON CA 92020
SAN DIEGO 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: DOWNEY ORTHODONTIC CENTER, DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 4475 Primary Status: Cancelled

Address :
10445 LAKEWOOD BLVD, STE 101
DOWNEY CA 90241
LOS ANGELES 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: DOWNEY ORTHODONTIC CENTER, GHOLDOIAN DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 9007 Primary Status: Cancelled

Address :
10501 LAKEWOOD BOULEVARD
STE. B
DOWNEY CA 90241
LOS ANGELES COUNTY

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