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Licensing details for: 106384

Name: DAVIS, TYLER ASHTON

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

3402 Calle Sin Rival
SAN CLEMENTE CA 92673-3821
ORANGE county
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Practice Location

1001 Avenida Pico
Unit N
SAN CLEMENTE CA 92673-6957
ORANGE county
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Issuance Date

June 30, 2021

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
8:9:25 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: RIVIERA ENDODONTICS DENTAL OFFICE OF TYLER DAVIS DMD, MS

License/Registration Type: Fictitious Name Permit

License Number: 19241 Primary Status: Current - Active

Address :
1001 AVENIDA PICO UNIT N
SAN CLEMENTE CA 92673
ORANGE 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: RIVIERA ENDODONTICS DENTAL OFFICE OF TYLER DAVIS DMD, MS

License/Registration Type: Fictitious Name Permit

License Number: 19241 Primary Status: Current - Active

Address :
1001 AVENIDA PICO UNIT N
SAN CLEMENTE CA 92673
ORANGE COUNTY

Map

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