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Licensing details for: 7581

Name: RAED Z MOUSSA, DDS, PROF DENTAL CORP

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

675 S SECOND AVE
COVINA CA 91723
LOS ANGELES county
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Issuance Date

February 7, 2002

Expiration Date

September 30, 2005

Current Date / Time

June 22, 2025
5:17:36 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: MOUSSA, RAED Z

License/Registration Type: Dentist License

License Number: 42577 Primary Status: Deceased

Address :
5810 E TRAPPER TRAIL
ANAHEIM CA 92807
ORANGE COUNTY

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