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Licensing details for: 106449

Name: NAPPOLY, ANJUM

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

27431 San Bernardino Ave
160
REDLANDS CA 92374-5054
SAN BERNARDINO county
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Issuance Date

July 2, 2021

Expiration Date

July 31, 2025

Current Date / Time

June 6, 2025
2:40:0 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: NAPPOLY DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81512 Primary Status: Current - Active

Address :
16868 MAIN ST
HESPERIA CA 92345
SAN BERNARDINO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DESERT VALLEY DENTAL GROUP, NAPPOLY DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17884 Primary Status: Current - Active

Address :
16868 Main Street
HESPERIA CA 92345
SAN BERNARDINO 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: DESERT VALLEY DENTAL GROUP, NAPPOLY DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17884 Primary Status: Current - Active

Address :
16868 Main Street
HESPERIA CA 92345
SAN BERNARDINO COUNTY

Map

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