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Licensing details for: 5780

Name: TRIANGLE DENTAL GROUP, GHAZAL AND COMPEAN DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

14305 BASELINE AVENUE
FONTANA CA 92336
SAN BERNARDINO county
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Issuance Date

September 27, 2005

Expiration Date

May 31, 2011

Current Date / Time

June 6, 2025
6:34:3 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COMPEAN, CARLOS GUILLERMO

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GHAZAL, CAROLYN G

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: COMPEAN, CARLOS GUILLERMO

License/Registration Type: Dentist License

License Number: 29127 Primary Status: Current - Active

Address :
10945South St. Ste. 200A
CERRITOS CA 90703
LOS ANGELES 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: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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