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Licensing details for: 19038

Name: INSTUDIO ORTHODONTICS DENTAL PRACTICE OF AMMAR SIDDIQI DDS INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2871 PARK AVE., SUITE 11C
TUSTIN CA 92782
ORANGE county
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Practice Location

2871 PARK AVE., SUITE 11C
TUSTIN CA 92782
ORANGE county
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Issuance Date

October 29, 2024

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
1:56:18 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SIDDIQI, AMMAR

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: SIDDIQI, AMMAR

License/Registration Type: Dentist License

License Number: 101217 Primary Status: Current - Active

Address :
13681 NEWPORT AVE
#8314
TUSTIN CA 92780-4689
ORANGE COUNTY

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