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Licensing details for: 79745

Name: MOHAMMAD ABUL-FIELAT, D.D.S., INC

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

12828 HARBOR BLVD #210
GARDEN GROVE CA 92840
ORANGE county
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Practice Location

12828 HARBOR BLVD #210
GARDEN GROVE CA 92840
ORANGE county
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Issuance Date

July 27, 2018

Expiration Date

June 30, 2023

Current Date / Time

June 7, 2025
9:4:22 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: 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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