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Licensing details for: 14035

Name: DENTISTRY 4 KIDS OF GARDEN GROVE, DENTAL GROUP MOHAMAD ABUL-FIELAT DDS INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

9535 GARDEN GROVE BLVD STE 201
GARDEN GROVE CA 92841
ORANGE county
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Practice Location

9535 GARDEN GROVE BLVD STE 201
GARDEN GROVE CA 92841
ORANGE county
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Issuance Date

February 12, 2018

Expiration Date

June 30, 2023

Current Date / Time

December 13, 2025
9:48:57 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: ABUL-FIELAT, MOHAMMAD GAZI

License/Registration Type: Dentist License

License Number: 43302 Primary Status: Current - Active

Address :
14275 Pipeline Ave
CHINO CA 91710-5639
SAN BERNARDINO COUNTY

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