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Licensing details for: 5720

Name: ARFAN TABA, DMD

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

361 RAILROAD CANYON RD STE A
LAKE ELSINORE CA 92532
RIVERSIDE county
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Issuance Date

January 21, 1997

Expiration Date

October 31, 2010

Current Date / Time

June 6, 2025
10:22:9 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: TABA, ARFAN

License/Registration Type: Dentist License

License Number: 41579 Primary Status: Current - Active

Address :
3221 Amethyst Way

TURLOCK CA 95382-9217
STANISLAUS COUNTY

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