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Licensing details for: 9961

Name: HIGHLAND DENTAL GROUP, MILLER AND CHOKKA DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

27949 GREENSPOT ROAD, STE. H
HIGHLAND CA 92346
SAN BERNARDINO county
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Practice Location

27949 GREENSPOT ROAD, STE. H
HIGHLAND CA 92346
SAN BERNARDINO county
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Issuance Date

May 18, 2012

Expiration Date

June 30, 2016

Current Date / Time

December 13, 2025
9:43:34 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: 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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