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Licensing details for: 105290

Name: BELDEN, JORDAN JOSIAH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

12419 Seal Beach Blvd
SEAL BEACH CA 90740-2710
ORANGE county
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Issuance Date

August 14, 2020

Expiration Date

September 30, 2027

Current Date / Time

September 8, 2026
10:13:28 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: Rossmoor Dental Group

License/Registration Type: Fictitious Name Permit

License Number: 20797 Primary Status: Current - Active

Address :
12419 Seal Beach Blvd.
SEAL BEACH CA 90740
ORANGE COUNTY

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