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Licensing details for: 7172

Name: MISSION VIEJO DENTAL, DENTAL OFFICE OF FRATT DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: MISSION VIEJO! - A DENTAL OFFICE OF FRATT DENTAL CORPORATION

Address of Record

23482 ALICIA PARKWAY
MISSION VIEJO CA 92691
ORANGE county
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Issuance Date

October 19, 2007

Expiration Date

July 31, 2011

Current Date / Time

June 7, 2025
6:53:38 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: FRATT, DENNIS R

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: FRATT, DENNIS R

License/Registration Type: Dentist License

License Number: 24779 Primary Status: Expired

Address :
1005 BAYSIDE COVE
NEWPORT BEACH CA 92660
ORANGE COUNTY

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