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Licensing details for: 9403

Name: RANCHO CORDOVA DENTAL GROUP AND ORTHODONTICS, GHAZAL, RODGERS AND

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

10910 Olson Dr Ste 100
RANCHO CORDOVA CA 95670-5663
SACRAMENTO county
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Practice Location

10910 OLSON DRIVE, STE. 100
RANCHO CORDOVA CA 95670
SACRAMENTO county
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Issuance Date

June 21, 2011

Expiration Date

May 31, 2018

Current Date / Time

June 6, 2025
9:9:10 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: STROMBERG, LOUIS ZANE

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: STROMBERG, LOUIS ZANE

License/Registration Type: Dentist License

License Number: 30879 Primary Status: Expired

Address :
16868 MAIN STREET
HESPERIA CA 92345
SAN BERNARDINO COUNTY

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