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Licensing details for: 9601

Name: GHAZAL AND PHAM DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CAROLYN GHAZAL

Address of Record

3150 CASE ROAD
BLDG. C
PERRIS CA 92570
RIVERSIDE county
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Issuance Date

April 8, 2008

Expiration Date

April 30, 2015

Current Date / Time

June 6, 2025
10:20:26 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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