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Licensing details for: 107354

Name: MENDOZA, CHRISTIAN JESUS

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

6124 Victoria Way
Unit 109
EASTVALE CA 92880-8883
RIVERSIDE county
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Issuance Date

March 10, 2022

Expiration Date

December 31, 2027

Current Date / Time

December 15, 2025
12:40:18 PM

License Relationships

PMS 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: Pediatric Minimal Sedation Permit

Name: MENDOZA, CHRISTIAN JESUS

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 4 Primary Status: Current - Active

Address :
1205 Renaissance Pkwy
unit 240
RIALTO CA 92376-2417
SAN BERNARDINO COUNTY

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