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Licensing details for: 11142

Name: CROW CANYON ORTHODONTICS, DENTAL PRACTICE OF ARASH ABOLFAZLIAN, D

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

111 DEERWOOD ROAD SUITE 390
SAN RAMON CA 94583
CONTRA COSTA county
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Practice Location

111 DEERWOOD ROAD SUITE 390
SAN RAMON CA 94583
CONTRA COSTA county
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Issuance Date

March 11, 2014

Expiration Date

January 31, 2027

Current Date / Time

December 13, 2025
9:41:22 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: ABOLFAZLIAN, ARASH

License/Registration Type: Dentist License

License Number: 61500 Primary Status: Current - Active

Address :
111 Deerwood Rd
Suite 390
111 Deerwood Rd.
SAN RAMON CA 94583-4409
CONTRA COSTA COUNTY

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