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Licensing details for: 10805

Name: GHAZAL AND HSIEH DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

7369 Day Creek Blvd
STE. F-103
RANCHO CUCAMONGA CA 91739-8020
SAN BERNARDINO county
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Issuance Date

August 24, 2012

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
9:55:55 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: REAGAN, DARIN SCOTT

License/Registration Type: Dentist License

License Number: 34407 Primary Status: Current - Active

Address :
943 AVENIDA PICO, STE. A
SAN CLEMENTE CA 92673
ORANGE COUNTY

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