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Licensing details for: 6015

Name: CAROLYN G.GHAZAL, DDS., INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

3630 CENTRAL AVENUE
SUITE I
RIVERSIDE CA 92506
RIVERSIDE county
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Issuance Date

June 25, 1998

Expiration Date

June 30, 2000

Current Date / Time

June 6, 2025
7:35:22 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: 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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