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Licensing details for: 9508

Name: DENTAL GROUP OF CALIFORNIA, CHANGIZI & ISMAIL DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: DENTAL GROUP OF CALIFORNIA

Address of Record

4952 E. KINGS CANYON ROAD, STE. 101
FRESNO CA 93727
FRESNO county
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Practice Location

4952 E. KINGS CANYON ROAD, STE. 101
FRESNO CA 93727
FRESNO county
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Issuance Date

August 29, 2011

Expiration Date

October 31, 2021

Current Date / Time

December 13, 2025
9:42:40 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: ISMAIL, AYMAN MOHAMMED

License/Registration Type: Dentist License

License Number: 49548 Primary Status: Current - Active

Address :
2825 Prescott Ave
CLOVIS CA 93619-7409
FRESNO COUNTY

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