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Licensing details for: 36088

Name: JOHNSON, EBENEZER

License Type: Dentist

Primary Status: Current - Active

Address of Record

440 N Mountain Ave
Suite #101
UPLAND CA 91786
SAN BERNARDINO county
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Issuance Date

July 15, 1988

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
5:29:8 AM

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: DRS EBENEZER AND RACHEL JOHNSON DDS. INC.

License/Registration Type: Additional Office Permit

License Number: 11464 Primary Status: Current - Active

Address :
511 S. RIVERSIDE AVE
RIALTO CA 92376
SAN BERNARDINO COUNTY

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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: EBENEZER JOHNSON DDS

License/Registration Type: Additional Office Permit

License Number: 5540 Primary Status: Cancelled

Address :
511 S RIVERSIDE AVE
RIALTO CA 92376
SAN BERNARDINO COUNTY

Map

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