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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

October 27, 2026
8:23:23 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: TABA, ARFAN

License/Registration Type: Dentist License

License Number: 41579 Primary Status: Current - Active

Address :
8701 Camino Media
Suite A
BAKERSFIELD CA 93311-1335
KERN COUNTY

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