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Licensing details for: 102895

Name: PARKER, GEORGE LEVY

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

3284 Garfield St
SAN BERNARDINO CA 92407-1903
SAN BERNARDINO county
Map

Issuance Date

July 25, 2018

Expiration Date

September 30, 2026

Current Date / Time

June 7, 2025
2:30:2 AM

License Relationships

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: Rodriguez, Tricia Renee

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 1024 Primary Status: Current - Active

Address Not Disclosed

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: Gist, Kiarra Nalyce

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 1020 Primary Status: Current - Active

Address Not Disclosed

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