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Licensing details for: 12324

Name: SMILE WORKS, A DENTAL GROUP OF FARUKHI, P.C.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

20672 LAKE FOREST DRIVE
LAKE FOREST CA 92630
ORANGE county
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Practice Location

15018 La Mirada Blvd
LA MIRADA CA 90638-4743
LOS ANGELES county
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Issuance Date

August 3, 2015

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
1:53:9 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HAIDER, MOHAMMAD SHIRAZ

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: FARUKHI, NAILA R

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: FARUKHI, NAILA R

License/Registration Type: Dentist License

License Number: 57840 Primary Status: Current - Active

Address :
20672 Lake Forest Dr
Suite #C
LAKE FOREST CA 92630-7700
ORANGE COUNTY

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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: HAIDER, MOHAMMAD SHIRAZ

License/Registration Type: Dentist License

License Number: 64017 Primary Status: Current - Active

Address :
20672 Lake Forest Dr Ste C
LAKE FOREST CA 92630-7700
ORANGE COUNTY

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