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Licensing details for: 102936

Name: MAYES, ANDIS ALMASI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: ALMASI, ANDIS

Address of Record

72301 COUNTRY CLUB DRIVE
SUITE 114
RANCHO MIRAGE CA 92270
RIVERSIDE county
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Practice Location

72301 Country Club Dr
Suite 114
RANCHO MIRAGE CA 92270
RIVERSIDE county
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Issuance Date

July 30, 2018

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
3:45:56 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: ANDIS ALMASI DDS MS INC

License/Registration Type: Additional Office Permit

License Number: 81413 Primary Status: Current - Active

Address :
82900 AVENUE 42 STE B103
INDIO CA 92203
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TEDDY DENTAL PRACTICE OF ANDIS ALMASI DDS, MS, INC

License/Registration Type: Fictitious Name Permit

License Number: 17442 Primary Status: Current - Active

Address :
82900 AVENUE 42 STE B103
INDIO CA 92203
RIVERSIDE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TEDDY DENTAL PRACTICE OF ANDIS ALMASI, DDS, MS, INC

License/Registration Type: Fictitious Name Permit

License Number: 16219 Primary Status: Current - Active

Address :
72301 COUNTRY CLUB DR., SUITE 114
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

Map

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: TEDDY DENTAL PRACTICE OF ANDIS ALMASI DDS, MS, INC

License/Registration Type: Fictitious Name Permit

License Number: 17442 Primary Status: Current - Active

Address :
82900 AVENUE 42 STE B103
INDIO CA 92203
RIVERSIDE COUNTY

Map

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: TEDDY DENTAL PRACTICE OF ANDIS ALMASI, DDS, MS, INC

License/Registration Type: Fictitious Name Permit

License Number: 16219 Primary Status: Current - Active

Address :
72301 COUNTRY CLUB DR., SUITE 114
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

Map

MS to DDS or OMS or SP

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

Related Party Role: Moderate Sedation Permit

Name: MAYES, ANDIS ALMASI

License/Registration Type: Moderate Sedation Permit

License Number: 283 Primary Status: Current - Active

Address :
72301 COUNTRY BLUD DRIVE SUITE 114
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

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OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: MAYES, ANDIS ALMASI

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3804 Primary Status: Cancelled

Address :
72301 Country Club Drive
Suite 114
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

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