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Licensing details for: 24655

Name: BEACH, CHARLES STUART

License Type: Dentist

Primary Status: Cancelled

Address of Record

651 I STREET
SACRAMENTO CA 95814
SACRAMENTO county
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Issuance Date

February 19, 1975

Expiration Date

October 31, 2014

Current Date / Time

June 7, 2025
6:22:58 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: RIVIERA DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2677 Primary Status: Cancelled

Address :
525 E MICHELTORENA SUITE 300
SANTA BARBARA CA 93103
SANTA BARBARA 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 DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2677 Primary Status: Cancelled

Address :
525 E MICHELTORENA SUITE 300
SANTA BARBARA CA 93103
SANTA BARBARA COUNTY

Map

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