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Licensing details for: 1172

Name: Coy, Kimberly Monique

License Type: RDH Alternative Practice

Primary Status: Current - Active

Specialty: Other California License(s) Held

Address not disclosed

Issuance Date

August 27, 2025

Expiration Date

March 31, 2026

Current Date / Time

October 30, 2025
7:20:56 AM

License Relationships

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Dentist

Name: JEFFERSON, WALTER

License/Registration Type: Dentist License

License Number: 53460 Primary Status: Current - Active

Address :
16475 SIERRA LAKES PKWY
STE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY

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Registered Dental Hygienist Alternative Practice to Registered Dental Hygienist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Registered Dental Hygienist

Name: Coy, Kimberly Monique

License/Registration Type: Registered Dental Hygienist

License Number: 34507 Primary Status: Current - Active

Address Not Disclosed

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