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Licensing details for: 10337

Name: DHAVAL PATEL AND CAROLYN GHAZAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

10357 Fairway Dr
STE. 100
ROSEVILLE CA 95678-3544
PLACER county
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Practice Location

10357 FAIRWAY DRIVE
STE. 100
ROSEVILLE CA 95678
PLACER county
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Issuance Date

November 19, 2010

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
3:26:52 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: RODGERS, CHARLES FREDERICK

License/Registration Type: Dentist License

License Number: 35324 Primary Status: Current - Active

Address :
131 W Ontario Ave
Suite 103
CORONA CA 92882-5274
RIVERSIDE COUNTY

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