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Licensing details for: 8797

Name: CAJALCO DENTAL, OFFICE OF GIAO BHAKTA, DMD, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: CAJALCO DENTAL

Address of Record

2550 TUSCANY ST.
STE. 101
CORONA CA 92881
RIVERSIDE county
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Issuance Date

June 29, 2010

Expiration Date

April 30, 2028

Current Date / Time

June 3, 2026
9:39:08 AM

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: BHAKTA, GIAO TON

License/Registration Type: Dentist License

License Number: 54692 Primary Status: Current - Active

Address :
2550 TUSCANY ST
STE 101
CORONA CA 92881
RIVERSIDE COUNTY

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