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Licensing details for: 11426

Name: W.A. FATTOUCH DDS INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

3809 SAN DIMAS STREET #A
BAKERSFIELD CA 93301
KERN county
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Practice Location

3809 SAN DIMAS STREET #A
BAKERSFIELD CA 93301
KERN county
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Issuance Date

May 7, 2014

Expiration Date

June 30, 2018

Current Date / Time

June 7, 2025
5:22:27 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: FATTOUCH, WADID ANTOINE

License/Registration Type: Dentist License

License Number: 30544 Primary Status: Expired

Address :
1900 Pacific Coast Hwy Apt 18
18
18
HUNTINGTON BEACH CA 92648-3952
ORANGE COUNTY

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