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Licensing details for: 10756

Name: FRATT DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

12027 CENTRAL AVE.
CHINO CA 91710
SAN BERNARDINO county
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Issuance Date

June 21, 2012

Expiration Date

July 31, 2015

Current Date / Time

June 6, 2025
10:32:47 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: HE, KENNY

License/Registration Type: Dentist License

License Number: 63347 Primary Status: Current - Active

Address :
290 N. HILL AVENUE UNIT 1
PASADENA CA 91106
LOS ANGELES COUNTY

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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: MARTINEZ, KAREN E

License/Registration Type: Dentist License

License Number: 56270 Primary Status: Current - Active

Address :
204 E Chevy Chase Dr Ste 1
GLENDALE CA 91205-3182
LOS ANGELES COUNTY

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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: FRATT, DENNIS R

License/Registration Type: Dentist License

License Number: 24779 Primary Status: Expired

Address :
1005 BAYSIDE COVE
NEWPORT BEACH CA 92660
ORANGE COUNTY

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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: PARRAY, HUMARA RASHID

License/Registration Type: Dentist License

License Number: 50353 Primary Status: Current - Active

Address :
7312 SITIO CASTANO
CARLSBAD CA 92009
SAN DIEGO COUNTY

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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: HASHIMI, HARIS S

License/Registration Type: Dentist License

License Number: 56002 Primary Status: Current - Active

Address :
3701 Market St
Suite E
RIVERSIDE CA 92501-3250
RIVERSIDE COUNTY

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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: SAHAWNEH, SHOROUQ SAMEER

License/Registration Type: Dentist License

License Number: 55643 Primary Status: Current - Active

Address :
2300 Harbor Blvd.
Suite H5
COSTA MESA CA 92626
ORANGE COUNTY

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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: LENA, DAVID AUGUST

License/Registration Type: Dentist License

License Number: 49775 Primary Status: Expired

Address :
1559 Watasheamu Rd
GARDNERVILLE NV 89460-7455
DOUGLAS COUNTY

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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: HONG, STANLEY S

License/Registration Type: Dentist License

License Number: 57103 Primary Status: Current - Active

Address :
30571 TEMECULA PARKWAY
STE D
TEMECULA CA 92592
RIVERSIDE COUNTY

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