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Licensing details for: 17316

Name: A.M. DENTAL GROUP, DENTAL OFFICE OF AYALA MARCELA DDS CORP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

11922 SEACREST DR STE B
GARDEN GROVE CA 92840
ORANGE county
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Practice Location

11922 SEACREST DR STE B
GARDEN GROVE CA 92840
ORANGE county
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Issuance Date

September 13, 2022

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
1:37:20 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AYALA ARIZMENDI, MARCELA DOLORES

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: AYALA ARIZMENDI, MARCELA DOLORES

License/Registration Type: Dentist License

License Number: 61047 Primary Status: Current - Active

Address :
1310 W Stewart Dr Ste 501
ORANGE CA 92868-3856
ORANGE COUNTY

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