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Licensing details for: 17041

Name: ANTHEM DENTAL, DENTAL OFFICE OF HENRY ABRAHAM, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Previous Names: Henry Abraham DDS INC ANTHEM DENTAL

Address of Record

30145 Antelope Rd Ste 105
MENIFEE CA 92584-8065
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Practice Location

30145 Antelope Rd Ste 105
MENIFEE CA 92584-8065
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Issuance Date

February 18, 2022

Expiration Date

October 31, 2026

Current Date / Time

April 6, 2026
2:41:10 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: ABRAHAM, HENRY

License/Registration Type: Dentist License

License Number: 54287 Primary Status: Current - Active

Address :
29049 Overland Dr Ste C
29049 Overland Dr Ste C
TEMECULA CA 92591-3637

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