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Licensing details for: 81462

Name: SANAZ KHALEGHI DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1620 2ND STREET MARKETPLACE SUITE A
BEAUMONT CA 92223
RIVERSIDE county
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Practice Location

1620 2ND STREET MARKETPLACE SUITE A
BEAUMONT CA 92223
RIVERSIDE county
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Issuance Date

March 9, 2023

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
2:18:58 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: LENG, NATHANIEL WEN-WEI

License/Registration Type: Dentist License

License Number: 61763 Primary Status: Current - Active

Address :
34880 Yucaipa Blvd
YUCAIPA CA 92399-4235
SAN BERNARDINO COUNTY

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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: KHALEGHI, SANAZ

License/Registration Type: Dentist License

License Number: 102437 Primary Status: Current - Active

Address :
1620 2nd st Marketplace
Ste A
BEAUMONT CA 92223
RIVERSIDE COUNTY

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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: CHOKKA, SUDHAKAR RAO

License/Registration Type: Dentist License

License Number: 41376 Primary Status: Current - Active

Address :
27949 Greenspot Rd
Ste. H
HIGHLAND CA 92346-4443
SAN BERNARDINO COUNTY

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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: ZAKLAMA, KARIM MAGID

License/Registration Type: Dentist License

License Number: 61349 Primary Status: Current - Active

Address :
2700 E Workman Ave
WEST COVINA CA 91791-6625
LOS ANGELES COUNTY

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