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Licensing details for: 80017

Name: AZOUZ DENTAL PRACTICE, INC

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5414 SUNRISE BLVD #E
CITRUS HEIGHTS CA 95610
SACRAMENTO county
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Practice Location

5414 SUNRISE BLVD #E
CITRUS HEIGHTS CA 95610
SACRAMENTO county
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Issuance Date

March 22, 2019

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
8:54:22 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: AZOUZ, DARRYL TODD

License/Registration Type: Dentist License

License Number: 47447 Primary Status: Current - Active

Address :
5414 Sunrise Blvd Ste F
CITRUS HEIGHTS CA 95610-7803
SACRAMENTO COUNTY

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