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Licensing details for: 4738

Name: CALIFORNIA DENTAL GROUP OF NORTH ANAHEIM, MORGAN DENTAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

1221 N EUCLID ST
ANAHEIM CA 92801
ORANGE county
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Issuance Date

January 28, 2004

Expiration Date

November 30, 2017

Current Date / Time

June 6, 2025
7:10:25 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MORGAN, JASON HOWARD

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MORGAN, JASON H

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: MORGAN, JASON HOWARD

License/Registration Type: Dentist License

License Number: 50648 Primary Status: Current - Active

Address :
1502 E COLLINS AVE
ORANGE CA 92867
ORANGE COUNTY

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