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Licensing details for: 10070

Name: DENTAL CORPORATION OF CAROLYN GHAZAL, D.D.S.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

68-847 EAST PALM CANYON DR
BLDG 1
CATHEDRAL CITY CA 92234
RIVERSIDE county
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Practice Location

68487 EAST PALM CANYON DRIVE BUILDING 1
CATHEDRAL CITY CA 92234
RIVERSIDE county
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Issuance Date

December 17, 2009

Expiration Date

June 30, 2010

Current Date / Time

June 6, 2025
8:46:30 PM

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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