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Licensing details for: 2450

Name: MEDICAL CENTER DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

11180 WARNER AVENUE #251
FOUNTAIN VALLEY CA 92708
ORANGE county
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Issuance Date

July 14, 1999

Expiration Date

June 30, 2000

Current Date / Time

December 13, 2025
11:48:27 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: KWEIDER, MOHAMAD HASSAN

License/Registration Type: Dentist License

License Number: 43182 Primary Status: Current - Active

Address :
3830 E Woodbine Rd
ORANGE CA 92867-2112
ORANGE 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: FATTOUCH, WADID ANTOINE

License/Registration Type: Dentist License

License Number: 30544 Primary Status: Expired

Address :
1900 Pacific Coast Hwy Apt 18
18
18
HUNTINGTON BEACH CA 92648-3952
ORANGE COUNTY

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