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Licensing details for: 8151

Name: BLOSSOM HILL DENTAL CENTER, DENTAL PRACTICE OF WALID TOUNI, DDS,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: BLOSSOM HILL DENTAL CENTER

Address of Record

704 BLOSSOM HILL ROAD #100
SAN JOSE CA 95123
SANTA CLARA county
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Practice Location

704 BLOSSOM HILL ROAD #100
SAN JOSE CA 95123
SANTA CLARA county
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Issuance Date

May 26, 2009

Expiration Date

December 31, 2010

Current Date / Time

June 6, 2025
9:59:27 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TOUNI, WALIED ALI YEHIA

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: TOUNI, WALIED ALI YEHIA

License/Registration Type: Dentist License

License Number: 46992 Primary Status: Current - Active

Address :
333 W Maude Ave #210
SUNNYVALE CA 94085
SANTA CLARA COUNTY

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