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Licensing details for: 723

Name: POYOUROW, SOLOMON LOUIS RIKMAR

License Type: Conscious Sedation

Primary Status: Cancelled

Previous Names: POYOUROW, SOLOMON

Address of Record

4582 KATELLA AVE
LOS ALAMITOS CA 90720
ORANGE county
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Issuance Date

February 17, 2011

Expiration Date

May 31, 2015

Current Date / Time

June 7, 2025
3:57:58 AM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: POYOUROW, SOLOMON LOUIS RIKMAR

License/Registration Type: Dentist License

License Number: 56129 Primary Status: Current - Active

Address :
1441 Avocado Ave Ste 406
NEWPORT BEACH CA 92660-7705
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FASHION ISLAND ORAL SURGERY AND IMPLANTS DENTAL PRACTICE OF POYOUROW PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 16519 Primary Status: Current - Active

Address :
1441 AVOCADO AVE #406
NEWPORT BEACH CA 92660
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ALAMITOS ORAL SURGERY, DENTAL OFFICE OF DRS. POYOUROW, CHANDRA, A

License/Registration Type: Fictitious Name Permit

License Number: 11127 Primary Status: Expired

Address :
4582 KATELLA AVENUE
LOS ALAMITOS CA 90720
ORANGE COUNTY

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