Dental Board of California
Licensing details for: 9599
Name: FREDERICK LEE AND CAROLYN GHAZAL DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
Previous Names: GHAZAL PROFESSIONAL DENTAL CORPORATION ❖ CAROLYN GHAZAL
Address of Record
72-027 HWY. 111
STE. C
RANCHO MIRAGE CA 92270
RIVERSIDE county
Map
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
