Skip to Main Content

Licensing details for: 11645

Name: BROWN AND GHAZAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

3967 MISSOURI FLAT ROAD
SUITE 120
PLACERVILLE CA 95667
EL DORADO county
Map

Practice Location

3967 MISSOURI FLAT ROAD
SUITE 120
PLACERVILLE CA 95667
EL DORADO county
Map

Issuance Date

December 24, 2014

Expiration Date

June 30, 2018

Current Date / Time

June 6, 2025
8:59:2 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: GILL, AMARDEEP KAUR

License/Registration Type: Dentist License

License Number: 50464 Primary Status: Current - Active

Address :
1450 E Main St
Ste 100
WOODLAND CA 95776-6201
YOLO COUNTY

Map

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: LAMBRIDIS, DEAN

License/Registration Type: Dentist License

License Number: 51199 Primary Status: Current - Active

Address :
30831 MARSEILLE WAY
WESTLAKE VILLAGE CA 91362
VENTURA COUNTY

Map

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: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

Map

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: BROWN, MARK JONATHAN

License/Registration Type: Dentist License

License Number: 58387 Primary Status: Current - Active

Address :
707 Zion St Ste C
NEVADA CITY CA 95959-2932
NEVADA COUNTY

Map

Important Links