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Licensing details for: 103950

Name: POLLOCK, ALEXANDER WILLIAM

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

29710 Longhorn Dr
CANYON LAKE CA 92587-7641
RIVERSIDE county
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Practice Location

30890 Benton Rd
Suite 101
WINCHESTER CA 92596
RIVERSIDE county
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Issuance Date

July 8, 2019

Expiration Date

November 30, 2026

Current Date / Time

April 2, 2026
2:35:07 AM

License Relationships

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: Benton Modern Dentistry, Dental Group of Benton Modern Dentistry, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20337 Primary Status: Current - Active

Address :
30890 Benton Rd Ste 101
WINCHESTER CA 92596-6098
RIVERSIDE COUNTY

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