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Licensing details for: 80252

Name: DARRYL TODD AZOUZ, DDS, INC.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

6661 STANFORD RANCH RD, STE D
ROCKLIN CA 95677
PLACER county
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Practice Location

5414 Sunrise Blvd Ste D
5414 Sunrise Blvd Suite d
CITRUS HEIGHTS CA 95610-7803
SACRAMENTO county
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Issuance Date

August 26, 2019

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
8:51:29 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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