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Licensing details for: 79392

Name: MOHAMMAD ABUL FIELAT DDS INC

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1561 E ONTARIO AVENUE, 103A
CORONA CA 92881-6665
RIVERSIDE county
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Practice Location

12900 PERRIS BLVD #201
MORENO VALLEY CA 92530
RIVERSIDE county
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Issuance Date

July 18, 2017

Expiration Date

June 30, 2025

Current Date / Time

June 7, 2025
2:40:19 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: ABUL-FIELAT, MOHAMMAD GAZI

License/Registration Type: Dentist License

License Number: 43302 Primary Status: Current - Active

Address :
14275 Pipeline Ave
CHINO CA 91710-5639
SAN BERNARDINO COUNTY

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