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Licensing details for: 14711

Name: AZOUZ DENTAL PRACTICE OF SACRAMENTO DBA BRIGHT SMILE DENTAL

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1901 WATT AVE STE 6
SACRAMENTO CA 95825
SACRAMENTO county
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Practice Location

1901 WATT AVE STE 6
SACRAMENTO CA 95825
SACRAMENTO county
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5414 Sunrise Blvd Ste D
5414 Sunrise Blvd Suite d
CITRUS HEIGHTS CA 95610-7803
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Issuance Date

December 24, 2018

Expiration Date

September 30, 2022

Current Date / Time

June 6, 2025
9:53:34 AM

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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