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Licensing details for: 15290

Name: DENTISTRY 4 KIDS DENTAL GROUP OF MOHAMMAD ABUL-FIELAT, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

9193 SIERRA AVE, SUITE B
FONTANA CA 92335
SAN BERNARDINO county
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Practice Location

9193 SIERRA AVE, SUITE B
FONTANA CA 92335
SAN BERNARDINO county
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Issuance Date

August 29, 2019

Expiration Date

June 30, 2021

Current Date / Time

June 7, 2025
8:26:8 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ABUL-FIELAT, MOHAMMAD GAZI

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: 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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