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Licensing details for: 1741

Name: TABEL, MOHAMMED MALIK

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

6569 RIVERSIDE DRIVE, #102-306
FRESNO CA 93722
FRESNO county
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Issuance Date

June 30, 2015

Expiration Date

December 31, 2026

Current Date / Time

June 22, 2025
5:9:46 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VALLEY OAK ORAL SURGERY AND DENTAL IMPLANT DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 17811 Primary Status: Expired

Address :
1111 E. HERNDON AVE #104
FRESNO CA 93720
FRESNO COUNTY

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GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: TABEL, MOHAMMED MALIK

License/Registration Type: Dentist License

License Number: 60767 Primary Status: Current - Active

Address :
6569 N Riverside Dr #102-306
FRESNO CA 93722
FRESNO COUNTY

Map

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