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Licensing details for: 19160

Name: LAGUNA WOODS DENTAL CARE DENTAL OFFICE OF MOHSIN MAHMOOD D.D.S, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

24902 MOULTON PKWY STE#200
LAGUNA WOODS CA 92637
ORANGE county
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Practice Location

24902 MOULTON PKWY STE#200
LAGUNA WOODS CA 92637
ORANGE county
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Issuance Date

December 10, 2024

Expiration Date

November 30, 2026

Current Date / Time

June 21, 2025
9:32:23 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MAHMOOD, MOHSIN RAZA

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: MAHMOOD, MOHSIN RAZA

License/Registration Type: Dentist License

License Number: 52424 Primary Status: Current - Active

Address :
1736 E 14th St
1736 E 14th Street
SAN LEANDRO CA 94577-4803
ALAMEDA COUNTY

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