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Licensing details for: 9136

Name: LAGUNA BEACH COMMUNITY DENTAL OFFICE, CARLOS F. GARCIA, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: LAGUNA BEACH COMMUNITY DENTAL CLINIC

Address of Record

362 THIRD STREET
STE. 2
LAGUNA BEACH CA 92651
ORANGE county
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Practice Location

362 THIRD STREET
STE. 2
LAGUNA BEACH CA 92651
ORANGE county
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Issuance Date

January 4, 2011

Expiration Date

March 31, 2017

Current Date / Time

June 6, 2025
6:46:57 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GARCIA, CARLOS FERNANDO

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: GARCIA, CARLOS FERNANDO

License/Registration Type: Dentist License

License Number: 54413 Primary Status: Current - Active

Address :
362 THIRD ST #2
LAGUNA BEACH CA 92651
ORANGE COUNTY

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