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Licensing details for: 11608

Name: MANSOUR, HATAE, HABIR, GHORBANIAN DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

270 EAST SEVENTH STREET
SUITE 2C
UPLAND CA 91786
SAN BERNARDINO county
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Practice Location

270 EAST SEVENTH STREET
SUITE 2C
UPLAND CA 91786
SAN BERNARDINO county
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Issuance Date

October 23, 2014

Expiration Date

May 31, 2019

Current Date / Time

June 6, 2025
2:17:9 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: GHORBANIAN, ABRAHAM

License/Registration Type: Dentist License

License Number: 53515 Primary Status: Current - Active

Address :
31 Musick
IRVINE CA 92618-1638
ORANGE COUNTY

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