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Licensing details for: 6340

Name: HIGHLAND DENTAL GROUP, BUEHLER, RODGERS, GHAZAL DENTAL CORPORATIO

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: HIGHLAND DENTAL GROUP, BUEHLER RODGERS GHAZAL DENTAL CORPORATION

Address of Record

3291 STANFORD RANCH RD., STE. 102
ROCKLIN CA 95765
PLACER county
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Issuance Date

July 26, 2006

Expiration Date

October 31, 2009

Current Date / Time

June 7, 2025
8:27:25 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RODGERS, CHARLES FREDERICK

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: RODGERS, CHARLES FREDERICK

License/Registration Type: Dentist License

License Number: 35324 Primary Status: Current - Active

Address :
131 W Ontario Ave
Suite 103
CORONA CA 92882-5274
RIVERSIDE COUNTY

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