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Licensing details for: 9445

Name: CAROLYN G. GHAZAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CAROLYN G. GHAZAL DDS.

Address of Record

72-333 HIGHWAY 111
STE. B
PALM DESERT CA 92260
RIVERSIDE county
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Issuance Date

September 5, 2007

Expiration Date

June 30, 2014

Current Date / Time

June 6, 2025
10:31:59 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: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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