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Licensing details for: 100537

Name: YEATON, MARIA HADI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

4900 Verdugo Way
Ste A
CAMARILLO CA 93012
VENTURA county
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Practice Location

4900 Verdugo Way
Ste A
CAMARILLO CA 93012
VENTURA county
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Issuance Date

July 26, 2016

Expiration Date

June 30, 2028

Current Date / Time

June 5, 2026
9:31:28 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: YEATON AND MAR DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80102 Primary Status: Cancelled

Address :
1381 W CHANNEL ISLANDS BLVD
OXNARD CA 93033
VENTURA COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: OXNARD SMILES DENTISTRY DENTAL GROUP YEATON AND MAR DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15054 Primary Status: Current - Active

Address :
1381 W CHANNEL ISLANDS BLVD
OXNARD CA 93033
VENTURA COUNTY

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