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Licensing details for: 14194

Name: SACRAMENTO NATURAL DENTISTRY, DENTAL PRACTICE OF AZOUZ DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

5414 SUNRISE BLVD STE E
CITRUS HEIGHTS CA 95610
SACRAMENTO county
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Practice Location

5414 SUNRISE BLVD STE E
CITRUS HEIGHTS CA 95610
SACRAMENTO county
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Issuance Date

May 1, 2018

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
6:53:30 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AZOUZ, DARRYL TODD

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: AZOUZ, DARRYL TODD

License/Registration Type: Dentist License

License Number: 47447 Primary Status: Current - Active

Address :
5414 Sunrise Blvd Ste F
CITRUS HEIGHTS CA 95610-7803
SACRAMENTO COUNTY

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