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Licensing details for: 109184

Name: ANIWIGBO, CHIOMA JESSICA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

Greenspot Crossings Dentistry
27830 Greenspot Rd Ste 3
HIGHLAND CA 92346-4451
SAN BERNARDINO county
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Issuance Date

August 22, 2023

Expiration Date

March 31, 2028

Current Date / Time

April 4, 2026
4:33:50 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: Greenspot Crossings Dentistry, Dental Group of Greenspot Crossings Dentistry, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20161 Primary Status: Current - Active

Address :
27830 Greenspot Road, Suite 3
HIGHLAND CA 92346

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