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Licensing details for: 80019

Name: DARRYL AZOUZ, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

940 SPRING ST #6
PLACERVILLE CA 95667
EL DORADO county
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Practice Location

941 SPRING ST #6
PLACERVILLE CA 95667
EL DORADO county
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Issuance Date

March 22, 2019

Expiration Date

September 30, 2020

Current Date / Time

June 7, 2025
3:41:28 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: 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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