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Licensing details for: 6292

Name: LAKE FOREST DENTAL GROUP, MCMURRAY DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

23082 RIDGE ROUTE DR., STE. A
LAKE FOREST CA 92630
ORANGE county
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Issuance Date

July 7, 2006

Expiration Date

September 30, 2009

Current Date / Time

June 7, 2025
6:32:29 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MC MURRAY, ELHAM KHASHE

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: MC MURRAY, ELHAM KHASHE

License/Registration Type: Dentist License

License Number: 45888 Primary Status: Current - Active

Address :
23704 EL TORO RD SUITE A
LAKE FOREST CA 92630
ORANGE COUNTY

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