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Licensing details for: 11392

Name: CAROLYN G. GHAZAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CAROLYN G. GHAZAL DDS.

Address of Record

72-333 HWY 111 SUITE B
PALM DESERT CA 92260
RIVERSIDE county
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Practice Location

72-333 HWY 111 SUITE B
PALM DESERT CA 92260
RIVERSIDE county
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Issuance Date

April 15, 2014

Expiration Date

March 31, 2015

Current Date / Time

June 7, 2025
9:4:55 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: RYGG, LANCE CHRISTIAN

License/Registration Type: Dentist License

License Number: 30251 Primary Status: Cancelled

Address :
9862 E MISSION GORGE RD, STE E
SANTEE CA 92071
SAN DIEGO COUNTY

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