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Licensing details for: 13983

Name: RADIANCE DENTAL PRACTICE OF EMAN MIKHAIL DDS DENTAL CORP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5675 E LA PALMA AVE STE 197
ANAHEIM CA 92807
ORANGE county
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Practice Location

5675 E LA PALMA AVE STE 197
ANAHEIM CA 92807
ORANGE county
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Issuance Date

January 11, 2018

Expiration Date

April 30, 2026

Current Date / Time

June 6, 2025
1:58:9 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MIKHAIL, EMAN

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, EMAN

License/Registration Type: Dentist License

License Number: 62390 Primary Status: Current - Active

Address :
5675 E La Palma Ave
197
ANAHEIM CA 92807-2107
ORANGE COUNTY

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