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Licensing details for: 11133

Name: AAVA DENTAL OF LAKE ELSINORE, DENTAL PRACTICE OF CASTILLO GHORBAN

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: AAVA DENTAL OF LAKE ELSINORE PRACTICE OF CASTILLO GHORBANIAN DENTAL COPORATION

Address of Record

31739 RIVERSIDE DRIVE
SUITE C
LAKE ELSINORE CA 92530
RIVERSIDE county
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Practice Location

31739 RIVERSIDE DRIVE
SUITE C
LAKE ELSINORE CA 92530
RIVERSIDE county
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Issuance Date

March 7, 2014

Expiration Date

May 31, 2019

Current Date / Time

June 6, 2025
9:36:39 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GHORBANIAN, ABRAHAM

Address Not Disclosed

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: GHORBANIAN, ABRAHAM

License/Registration Type: Dentist License

License Number: 53515 Primary Status: Current - Active

Address :
31 Musick
IRVINE CA 92618-1638
ORANGE COUNTY

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