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Licensing details for: 43114

Name: BANG, ROBERT

License Type: Dentist

Primary Status: Current - Active

Address of Record

911 W PERDEW AVE
RIDGECREST CA 93555
KERN county
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Issuance Date

October 26, 1995

Expiration Date

November 30, 2026

Current Date / Time

June 22, 2025
1:4:24 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CHILDREN'S DENTAL GROUP, ROBERT BANG, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4519 Primary Status: Expired

Address :
501 JOYNER, STE B
RIDGECREST CA 93555
KERN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: Robert Bang, D.D.S., Inc.

License/Registration Type: Fictitious Name Permit

License Number: 17491 Primary Status: Current - Active

Address :
911 Perdew Ave
RIDGECREST CA 93555-5642
KERN 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: CHILDREN'S DENTAL GROUP DENTAL OFFICE OF DR. ROBERT BANG

License/Registration Type: Fictitious Name Permit

License Number: 17491 Primary Status: Current - Active

Address :
911 Perdew Ave
RIDGECREST CA 93555-5642
KERN 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: CHILDREN'S DENTAL GROUP, ROBERT BANG, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4519 Primary Status: Expired

Address :
501 JOYNER, STE B
RIDGECREST CA 93555
KERN COUNTY

Map

OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: BANG, ROBERT

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 744 Primary Status: Cancelled

Address :
911 W. Perdew Ave
RIDGECREST CA 93555-5642
KERN COUNTY

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