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Licensing details for: 10036

Name: GHAZAL AND RODGERS DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

5899 Sunrise Blvd
CITRUS HEIGHTS CA 95610-6866
SACRAMENTO county
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Practice Location

5899 SUNRISE BOULEVARD
CITRUS HEIGHTS CA 95610
SACRAMENTO county
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Issuance Date

October 29, 2009

Expiration Date

June 30, 2018

Current Date / Time

June 6, 2025
10:28:6 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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