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Licensing details for: 108069

Name: MINEO ESCARENO, SCARLETT ANAI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2465 E Palm Canyon Dr
Suite 605
PALM SPRINGS CA 92264-7000
RIVERSIDE county
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Practice Location

2465 E Palm Canyon Dr
Suite 605
PALM SPRINGS CA 92264-7000
RIVERSIDE county
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Issuance Date

September 16, 2022

Expiration Date

December 31, 2026

Current Date / Time

September 8, 2026
10:11:04 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: Dentists of Smoke Tree, Dental Group of Dentists of Smoke Tree, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20957 Primary Status: Current - Active

Address :
2465 E Palm Canyon Dr Ste 605
PALM SPRINGS CA 92264-7003
RIVERSIDE COUNTY

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