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Licensing details for: 53737

Name: VELARDE, CARLOS ENRIQUE

License Type: Dentist

Primary Status: Current - Active

Address of Record

27886 VIOLET
MISSION VIEJO CA 92691
ORANGE county
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Issuance Date

August 5, 2005

Expiration Date

August 31, 2025

Current Date / Time

June 6, 2025
4:22:33 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MUIRLANDS DENTAL OFFICE CARLOS E VERLARDE DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 12197 Primary Status: Cancelled

Address :
23361 EL TORO ROAD, #105
LAKE FOREST CA 92630
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: MUIRLANDS DENTAL OFFICE CARLOS E VERLARDE DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 12197 Primary Status: Cancelled

Address :
23361 EL TORO ROAD, #105
LAKE FOREST CA 92630
ORANGE COUNTY

Map

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