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Licensing details for: 11665

Name: RICKY V. TRAN DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5182 COMMONS DRIVE
SUITE 101
ROCKLIN CA 95677
PLACER county
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Practice Location

5182 COMMONS DRIVE
SUITE 101
ROCKLIN CA 95677
PLACER county
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Issuance Date

January 26, 2015

Expiration Date

December 31, 2025

Current Date / Time

June 6, 2025
10:30:33 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: 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

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