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Licensing details for: 82919

Name: AHMAD MOKBIL, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Lathrop Modern Dentistry, Prof. Corp.

Address of Record

16748 Golden Valley Parkway
LATHROP CA 95330
SAN JOAQUIN county
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Issuance Date

June 4, 2026

Expiration Date

March 31, 2028

Current Date / Time

June 6, 2026
12:14:21 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: MOKBIL, AHMAD

License/Registration Type: Dentist License

License Number: 101058 Primary Status: Current - Active

Address :
1016 Riley St
1
1016 Riley St
FOLSOM CA 95630-3265

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