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Licensing details for: 4809

Name: ESQUIRE DENTAL OFFICE OF CAROL L CABANAS, DDS, INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

37259 FREMONT BLVD
FREMONT CA 94536
ALAMEDA county
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Issuance Date

March 8, 2004

Expiration Date

October 31, 2008

Current Date / Time

June 7, 2025
6:42:48 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CABANAS, CAROL LYNN

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: CABANAS, CAROL LYNN

License/Registration Type: Dentist License

License Number: 41362 Primary Status: Current - Active

Address :
71800 Highway 111 Ste A
RANCHO MIRAGE CA 92270-4492
RIVERSIDE COUNTY

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