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Licensing details for: 8112

Name: RANCHO MIRAGE DENTAL GROUP, GHAZAL PROFESSIONAL DENTAL CORPORATIO

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

72-027 HIGHWAY 111
STE. C
RANCHO MIRAGE CA 92270
RIVERSIDE county
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Practice Location

72-027 HIGHWAY 111
STE. C
RANCHO MIRAGE CA 92270
RIVERSIDE county
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Issuance Date

May 4, 2009

Expiration Date

June 30, 2014

Current Date / Time

October 30, 2025
1:13:20 PM

License Relationships

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: RYGG, LANCE CHRISTIAN

License/Registration Type: Dentist License

License Number: 30251 Primary Status: Cancelled

Address :
9862 E MISSION GORGE RD, STE E
SANTEE CA 92071
SAN DIEGO COUNTY

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