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Licensing details for: 10544

Name: SMILELIFE DENTAL GROUP, PRACTICE OF TREJO CANCHOLA DENTAL CORPORA

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: SMILELIFE DENTAL GROUP, PRACTICE OF CANCHOLA DDS

Address of Record

624 S. EUCLID STREET
ANAHEIM CA 92802
ORANGE county
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Practice Location

624 S. EUCLID STREET
ANAHEIM CA 92802
ORANGE county
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Issuance Date

June 20, 2013

Expiration Date

August 31, 2014

Current Date / Time

December 13, 2025
11:35:20 AM

License Relationships

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: AYALA ARIZMENDI, MARCELA DOLORES

License/Registration Type: Dentist License

License Number: 61047 Primary Status: Current - Active

Address :
1310 W Stewart Dr Ste 501
ORANGE CA 92868-3856
ORANGE COUNTY

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