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Licensing details for: 8820

Name: MONET DENTAL GROUP - MY KIDS DENTIST, HSIEH AND GHAZAL DENTAL COR

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: MONET DENTAL GROUP - MY KIDS DENTIST

Address of Record

12455 Victoria Gardens Ln
STE. 190
RANCHO CUCAMONGA CA 91739-7530
SAN BERNARDINO county
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Issuance Date

July 7, 2010

Expiration Date

June 30, 2020

Current Date / Time

June 6, 2025
10:15:42 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GHAZAL, CAROLYN G

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: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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