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Licensing details for: 13522

Name: DIAMOND DENTAL, DENTAL PRACTICE OF SONIA MIKHAIL DDS DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1830 OCEANSIDE BLVD STE D
OCEANSIDE CA 92054
SAN DIEGO county
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Practice Location

1830 OCEANSIDE BLVD STE D
OCEANSIDE CA 92054
SAN DIEGO county
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Issuance Date

May 15, 2017

Expiration Date

January 31, 2020

Current Date / Time

June 6, 2025
10:3:22 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MIKHAIL, SONIA BOTROS

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: MIKHAIL, SONIA BOTROS

License/Registration Type: Dentist License

License Number: 50956 Primary Status: Current - Active

Address :
10850 CHURCH STREET, APT #X205
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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