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Licensing details for: 11585

Name: AAVA DENTAL OF UPLAND, DENTAL OFFICE OF MANSOUR, HATAE, HABIR, GH

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

270 EAST 7TH ST STE 2C
UPLAND CA 91786
SAN BERNARDINO county
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Practice Location

300 E 7th St
ST# 2G
300 E 7TH ST, ST# 2G
UPLAND CA 91786-6778
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Issuance Date

September 24, 2014

Expiration Date

May 31, 2027

Current Date / Time

June 6, 2025
1:48:8 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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