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Licensing details for: 15222

Name: MK DENTAL GROUP DENTAL OFFICE OF DR. MANA KAFAEI

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

15390 FAIRFIELD RANCH ROAD, UNIT E
CHINO HILLS CA 91709
SAN BERNARDINO county
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Practice Location

15390 FAIRFIELD RANCH ROAD, UNIT E
CHINO HILLS CA 91709
SAN BERNARDINO county
Map

15390 Fairfield Ranch Rd.
Unit E
CHINO HILLS CA 91709
SAN BERNARDINO county
Map

Issuance Date

August 6, 2019

Expiration Date

June 30, 2027

Current Date / Time

December 13, 2025
7:56:5 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: KAFAEI, MANA

License/Registration Type: Dentist License

License Number: 64841 Primary Status: Current - Active

Address :
15390 Fairfield Ranch Rd
E
CHINO HILLS CA 91709-8854
SAN BERNARDINO COUNTY

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