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Licensing details for: 41362

Name: CABANAS, CAROL LYNN

License Type: Dentist

Primary Status: Current - Active

Address of Record

81816 Via Parco Dr
INDIO CA 92203-7713
RIVERSIDE county
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Practice Location

71800 Highway 111 Ste A
RANCHO MIRAGE CA 92270-4492
RIVERSIDE county
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Issuance Date

October 27, 1993

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
8:13:24 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: CABANAS AND LEE DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 79363 Primary Status: Cancelled

Address :
72-027 HIGHWAY 111, SUITE C
RANCHO MIRAGE CA 92270
RIVERSIDE 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: CABANAS AND LEE DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80167 Primary Status: Current - Active

Address :
71-817 HWY 111, SUITE 1
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: RANCHO MIRAGE DENTAL GROUP CABANAS AND LEE DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15135 Primary Status: Current - Active

Address :
71-817 HIGHWAY 111, SUITE 1
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: RANCHO MIRAGE DENTAL GROUP, CABANAS AND LEE DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13595 Primary Status: Cancelled

Address :
72-027 HIGHWAY 111 STE C
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ESQUIRE DENTAL OFFICE OF CAROL L CABANAS, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4809 Primary Status: Cancelled

Address :
37259 FREMONT BLVD
FREMONT CA 94536
ALAMEDA 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: RANCHO MIRAGE DENTAL GROUP CABANAS AND LEE DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15135 Primary Status: Current - Active

Address :
71-817 HIGHWAY 111, SUITE 1
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

Map

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: RANCHO MIRAGE DENTAL GROUP, CABANAS AND LEE DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13595 Primary Status: Cancelled

Address :
72-027 HIGHWAY 111 STE C
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

Map

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: ESQUIRE DENTAL OFFICE OF CAROL L CABANAS, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4809 Primary Status: Cancelled

Address :
37259 FREMONT BLVD
FREMONT CA 94536
ALAMEDA COUNTY

Map

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