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Licensing details for: 18727

Name: THE DENTAL OFFICE OF BEAUMONT, DENTAL CORPORATION OF SANAZ KHALEGHI

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1620 E. 1ST STREET, SUITE 200
BEAUMONT CA 92223
RIVERSIDE county
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Practice Location

1620 E. 1ST STREET, SUITE 200
BEAUMONT CA 92223
RIVERSIDE county
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Issuance Date

July 10, 2024

Expiration Date

September 30, 2027

Current Date / Time

October 30, 2025
12:44:29 PM

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: CHOKKA, SUDHAKAR RAO

License/Registration Type: Dentist License

License Number: 41376 Primary Status: Current - Active

Address :
27949 Greenspot Rd
Ste. H
HIGHLAND CA 92346-4443
SAN BERNARDINO COUNTY

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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: ZAKLAMA, KARIM MAGID

License/Registration Type: Dentist License

License Number: 61349 Primary Status: Current - Active

Address :
2700 E Workman Ave
WEST COVINA CA 91791-6625
LOS ANGELES COUNTY

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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: KHALEGHI, SANAZ

License/Registration Type: Dentist License

License Number: 102437 Primary Status: Current - Active

Address :
1620 2nd st Marketplace
Ste A
BEAUMONT CA 92223
RIVERSIDE COUNTY

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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: LENG, NATHANIEL WEN-WEI

License/Registration Type: Dentist License

License Number: 61763 Primary Status: Current - Active

Address :
34880 Yucaipa Blvd
YUCAIPA CA 92399-4235
SAN BERNARDINO COUNTY

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