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Licensing details for: 19479

Name: FONTANA DENTAL ASSOCIATES DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

14050 CHERRY AVE, UNIT A
FONTANA CA 92337
SAN BERNARDINO county
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Issuance Date

April 24, 2025

Expiration Date

April 30, 2027

Current Date / Time

April 4, 2026
7:04:38 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: ABDOLHOSSEINI, HOSSEIN

License/Registration Type: Dentist License

License Number: 50715 Primary Status: Current - Active

Address :
5771 PINE AVE STE 5
CHINO HILLS CA 91709
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: SATVAT, NAZILA

License/Registration Type: Dentist License

License Number: 64510 Primary Status: Current - Active

Address :
70 Visionary
IRVINE CA 92618-1108
ORANGE COUNTY

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