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Licensing details for: 15535

Name: AAVA DENTAL OF LAKE ELSINORE, DENTAL OFFICE OF GHORBANIAN PROFESSIONAL DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

31739 RIVERSIDE DR #C
LAKE ELSINORE CA 92530
RIVERSIDE county
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Practice Location

31739 RIVERSIDE DR #C
LAKE ELSINORE CA 92530
RIVERSIDE county
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Issuance Date

December 6, 2019

Expiration Date

May 31, 2025

Current Date / Time

June 6, 2025
2:11:49 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GHORBANIAN, ABRAHAM

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: GHORBANIAN, ABRAHAM

License/Registration Type: Dentist License

License Number: 53515 Primary Status: Current - Active

Address :
31 Musick
IRVINE CA 92618-1638
ORANGE COUNTY

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