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Licensing details for: 14161

Name: COLTON DENTAL & ORTHODONTICS, DR. ZAGHI DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

944 VIA LATA
COLTON CA 92324
SAN BERNARDINO county
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Practice Location

944 VIA LATA
COLTON CA 92324
SAN BERNARDINO county
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Issuance Date

April 18, 2018

Expiration Date

July 31, 2020

Current Date / Time

June 6, 2025
1:39:6 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ZAGHI, FARSHAD

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: ZAGHI, FARSHAD

License/Registration Type: Dentist License

License Number: 41331 Primary Status: Current - Active

Address :
23520 Crenshaw Blvd
TORRANCE CA 90505-5203

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