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Licensing details for: 18795

Name: DENTAL OFFICE OF MICHAEL AZER, DMD

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

7270 VICTORIA PARK LN STE #3A
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO county
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Practice Location

7270 VICTORIA PARK LN STE #3A
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO county
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Issuance Date

August 2, 2024

Expiration Date

May 31, 2027

Current Date / Time

June 6, 2025
2:10:31 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AZER, MICHAEL ATEF

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: AZER, MICHAEL ATEF

License/Registration Type: Dentist License

License Number: 105326 Primary Status: Current - Active

Address :
7270 Victoria Park Ln
Ste #3A
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO COUNTY

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