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Licensing details for: 451

Name: GIDLOF, BETTY ANNA

License Type: RDH Alternative Practice

Primary Status: Current - Active

Secondary Status: Citation Probation Terminated

Address not disclosed

Issuance Date

November 16, 2012

Expiration Date

August 31, 2027

Current Date / Time

December 13, 2025
5:16:28 PM

Disciplinary Actions

Start: May 20, 2013

Action: Citation Issued

License Relationships

Fictitious Name Permit to Registered Dental Hygienist Alternative Practice

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Fictitious Name Permit

Name: BRITE SMILES OF CALIFORNIA, DENTAL HYGIENE PRACTICE OF

License/Registration Type: Fictitious Name Permit

License Number: 121 Primary Status: Current - Active

Address :
BETTY ANNA GIDLOF, RDHAP
152 VIA SAN NICOLO
PALM DESERT CA 92260
RIVERSIDE COUNTY

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Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Dentist

Name: WOLFRAM, STEVEN MARK

License/Registration Type: Dentist License

License Number: 52164 Primary Status: Current - Active

Address :
11834 BRYANT STREET
SUITE 104
YUCAIPA CA 92399
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: GIDLOF, BETTY ANNA

License/Registration Type: Registered Dental Hygienist

License Number: 14865 Primary Status: Current - Active

Address Not Disclosed

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