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Licensing details for: 81348

Name: SARVAIYA DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

22951 LOS ALISOS BLVD #2
MISSION VIEJO CA 92691
ORANGE county
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Practice Location

22951 LOS ALISOS BLVD #2
MISSION VIEJO CA 92691
ORANGE county
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Issuance Date

October 31, 2022

Expiration Date

February 29, 2024

Current Date / Time

June 6, 2025
11:32:47 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: SARVAIYA, AVANI PRANAY

License/Registration Type: Dentist License

License Number: 56521 Primary Status: Current - Active

Address :
1916 N Tustin St
ORANGE CA 92865-4644
ORANGE COUNTY

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