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Licensing details for: 9800

Name: CAROLYN GHAZAL AND MINH PHAM DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CAROLYN G GHAZAL

Address of Record

30406 Haun Rd
STE. 740
MENIFEE CA 92584-6816
RIVERSIDE county
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Issuance Date

January 12, 2009

Expiration Date

June 30, 2018

Current Date / Time

June 6, 2025
8:49:31 PM

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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