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Licensing details for: 41579

Name: TABA, ARFAN

License Type: Dentist

Primary Status: Current - Active

Previous Names: ALTABAA, ARFAN

Address of Record

3221 Amethyst Way

TURLOCK CA 95382-9217
STANISLAUS county
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Issuance Date

April 27, 1994

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
8:5:37 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: ARFAN TABA, DDS, INC

License/Registration Type: Additional Office Permit

License Number: 7398 Primary Status: Cancelled

Address :
638 CAMINO DE LOS MARES #C140
SAN CLEMENTE CA 92673
ORANGE 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: ARFAN TABA, DMD

License/Registration Type: Additional Office Permit

License Number: 5720 Primary Status: Cancelled

Address :
361 RAILROAD CANYON RD STE A
LAKE ELSINORE CA 92532
RIVERSIDE 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: ADRIANA NICOLESCU THOMAS

License/Registration Type: Additional Office Permit

License Number: 7376 Primary Status: Cancelled

Address :
361 RAILROAD CANYON ROAD #A
LAKE ELSINORE CA 92532
RIVERSIDE 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: TABA DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81521 Primary Status: Current - Active

Address :
2808 W. Monte Vista Avenue
TURLOCK CA 95380
STANISLAUS COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VILLAGE DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 1020 Primary Status: Cancelled

Address :
ARFAN TABA, DDS
1210 S BROOKHURST
ANAHEIM CA 92804
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TURLOCK SMILES DENTISTRY DENTAL GROUP, TABA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17845 Primary Status: Current - Active

Address :
2808 W. Monte Vista Avenue
TURLOCK CA 95380
STANISLAUS COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TUSCANY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3208 Primary Status: Cancelled

Address :
361 RAILROAD CANYON ROAD #A
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: OCEAN VIEW PLAZA DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3220 Primary Status: Cancelled

Address :
638 CAMINO DE LOS MARES #C-140
SAN CLEMENTE CA 92673
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VILLAGE DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3248 Primary Status: Cancelled

Address :
1210 SOUTH BROOKHURST
ANAHEIM CA 92804
ORANGE 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: TUSCANY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 3208 Primary Status: Cancelled

Address :
361 RAILROAD CANYON ROAD #A
LAKE ELSINORE CA 92532
RIVERSIDE 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: TURLOCK SMILES DENTISTRY DENTAL GROUP, TABA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17845 Primary Status: Current - Active

Address :
2808 W. Monte Vista Avenue
TURLOCK CA 95380
STANISLAUS 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: VILLAGE DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3248 Primary Status: Cancelled

Address :
1210 SOUTH BROOKHURST
ANAHEIM CA 92804
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: VILLAGE DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 1020 Primary Status: Cancelled

Address :
ARFAN TABA, DDS
1210 S BROOKHURST
ANAHEIM CA 92804
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: OCEAN VIEW PLAZA DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3220 Primary Status: Cancelled

Address :
638 CAMINO DE LOS MARES #C-140
SAN CLEMENTE CA 92673
ORANGE COUNTY

Map

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