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Licensing details for: 10041

Name: HOANG AND GHAZAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

4690 Natomas Blvd Ste 100
SACRAMENTO CA 95835-2230
SACRAMENTO county
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Practice Location

4690 NATOMAS BOULEVARD SUITE 100
SACRAMENTO CA 95835
SACRAMENTO county
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Issuance Date

October 29, 2009

Expiration Date

July 31, 2018

Current Date / Time

June 7, 2025
10:39:21 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: HOANG, JUDY-LOAN T

License/Registration Type: Dentist License

License Number: 44747 Primary Status: Expired

Address :
4690 NATOMAS BLVD. SUITE 100
SACRAMENTO CA 95835
SACRAMENTO COUNTY

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