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Licensing details for: 3614

Name: SOHAL, SHERLY S

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Address of Record

27001 Moulton Pkwy Ste A118
LAGUNA HILLS CA 92656-3627
ORANGE county
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Practice Location

1820 N Perris Blvd
ste 70
PERRIS CA 92571-2703
RIVERSIDE county
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Issuance Date

March 27, 2017

Expiration Date

February 29, 2020

Current Date / Time

June 7, 2025
4:36:30 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PERRIS MODERN DENTISTRY DENTAL GROUP SOHAL AND PHAM DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13517 Primary Status: Current - Active

Address :
1820 PERRIS BLVD STE 70
PERRIS CA 92571
RIVERSIDE COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: SOHAL, SHERLY S

License/Registration Type: Dentist License

License Number: 59799 Primary Status: Current - Active

Address :
27001 Moulton Pkwy
ste a-118
LAGUNA HILLS CA 92656-3600
ORANGE COUNTY

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