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Licensing details for: 79670

Name: GHAZAL, GILL AND NAVARRO DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1008 W. SHAW AVE, STE 105
FRESNO CA 93711
FRESNO county
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Practice Location

1008 W. SHAW AVE, STE 105
FRESNO CA 93711
FRESNO county
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Issuance Date

May 14, 2018

Expiration Date

January 31, 2023

Current Date / Time

June 6, 2025
10:30:50 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: NAVARRO, ISAAC ROBERT

License/Registration Type: Dentist License

License Number: 57304 Primary Status: Current - Active

Address :
4148 S DEMAREE ST
Suite A
VISALIA CA 93277
TULARE COUNTY

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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: GILL, AMARDEEP KAUR

License/Registration Type: Dentist License

License Number: 50464 Primary Status: Current - Active

Address :
1450 E Main St
Ste 100
WOODLAND CA 95776-6201
YOLO COUNTY

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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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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: PATEL, DHAVAL RAMAN

License/Registration Type: Dentist License

License Number: 54297 Primary Status: Current - Active

Address :
10357 Fairway Dr
Ste 100
ROSEVILLE CA 95678-3544
PLACER COUNTY

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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: FAREID, BEVAN SHOGHI

License/Registration Type: Dentist License

License Number: 64702 Primary Status: Current - Active

Address :
4129 S Mooney Blvd #B
VISALIA CA 93277
TULARE COUNTY

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