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Licensing details for: 4015

Name: CORONA ORTHODONTIC CENTER, DENTAL OFFICE OF

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

1358 W 6TH ST, #102
CORONA CA 92882
RIVERSIDE county
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Issuance Date

December 9, 2002

Expiration Date

March 31, 2009

Current Date / Time

June 6, 2025
6:34:39 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SIMJEE, SOHAIL IDRIES

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AL AKAD, BAKER

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: SIMJEE, SOHAIL IDRIES

License/Registration Type: Dentist License

License Number: 44088 Primary Status: Current - Active

Address :
13297 Jamboree Rd
TUSTIN CA 92782-9159
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: AL AKAD, BAKER

License/Registration Type: Dentist License

License Number: 45802 Primary Status: Current - Active

Address :
9906 VALERIO COURT
BAKERSFIELD CA 93312
KERN COUNTY

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