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Licensing details for: 39295

Name: LEVINGSTON, JOSEPH RICHARD

License Type: Dentist

Primary Status: Cancelled

Address of Record

7200 W. BELL RD, STE C-3
GLENDALE AZ 85308
MARICOPA county
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Practice Location

20940 N Tatum Blvd
Ste 290
20940 N Tatum Blvd
PHOENIX AZ 85050-4265
MARICOPA county
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Issuance Date

July 26, 1991

Expiration Date

March 31, 2020

Current Date / Time

December 15, 2025
9:0:25 PM

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: JOSEPH RICHARD LEVINGSTON, DDS

License/Registration Type: Additional Office Permit

License Number: 5906 Primary Status: Cancelled

Address :
2560 N PERRIS BLVD
SUITE F-1
PERRIS CA 92570
RIVERSIDE 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: INLAND DENTAL GROUP OF PERRIS

License/Registration Type: Fictitious Name Permit

License Number: 1763 Primary Status: Cancelled

Address :
2560 N PERRIS BLVD STE F1/F2
PERRIS CA 92570
RIVERSIDE 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: INLAND DENTAL GROUP OF JOSEPH R. LEVINGSTON

License/Registration Type: Fictitious Name Permit

License Number: 1011 Primary Status: Cancelled

Address :
24655 SUNNYMEAD BLVD
MORENO VALLEY CA 92553
RIVERSIDE COUNTY

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