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Licensing details for: 6585

Name: TOWNE CENTRE DENTAL GROUP, REAGAN AND PANDHOH DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: TOWNE CENTRE DENTAL GROUP

Address of Record

45 Auto Center Dr
STE. 110
FOOTHILL RANCH CA 92610-2848
ORANGE county
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Issuance Date

December 4, 2006

Expiration Date

June 30, 2024

Current Date / Time

June 6, 2025
2:57:28 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: REAGAN, DARIN SCOTT

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: REAGAN, DARIN SCOTT

License/Registration Type: Dentist License

License Number: 34407 Primary Status: Current - Active

Address :
943 AVENIDA PICO, STE. A
SAN CLEMENTE CA 92673
ORANGE COUNTY

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