
Dental Board of California
Licensing details for: 43359
Name: LEE, FREDERICK HYUN WOO
License Type: Dentist
Primary Status: Current - Active
Address of Record
4000 W. FLORIDA AVE.
HEMET CA 92545
RIVERSIDE county
Map
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: LEE AND GHAZAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11537 Primary Status: Cancelled
Address :
72-333 HWY 111 SUITE B
PALM DESERT CA 92260
RIVERSIDE COUNTY
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: C.F. RODGERS, D.D.S., INC
License/Registration Type: Additional Office Permit
License Number: 79459 Primary Status: Cancelled
Address :
131 W ONTARIO AVE STE 102
CORONA CA 92882
RIVERSIDE COUNTY
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: MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79868 Primary Status: Cancelled
Address :
3150 CASE ROAD BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
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: WATANABE AND VU DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81415 Primary Status: Current - Active
Address :
25395 MADISON AVENUE, SUITE 103
MURRIETA CA 92562
RIVERSIDE COUNTY
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: KELLY KIM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81682 Primary Status: Current - Active
Address :
25100 HANCOCK AVENUE, SUITE 102
MURRIETA CA 92562
RIVERSIDE COUNTY
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: ALEXANDER TRAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81409 Primary Status: Current - Active
Address :
82151 AVENUE 42., SUITE 110
INDIO CA 92203
RIVERSIDE COUNTY
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: FREDERICK LEE, DDS
License/Registration Type: Additional Office Permit
License Number: 82009 Primary Status: Current - Active
Address :
29273 CENTRAL AVE., SUITE A
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY
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
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: DHAMA AND RODGERS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79987 Primary Status: Cancelled
Address :
131 W ONTARIO AVENUE #102
CORONA CA 92882
RIVERSIDE COUNTY
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: NATALIE LE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79081 Primary Status: Cancelled
Address :
5001 E Ramon Rd
Suite 104
PALM SPRINGS CA 92264-1543
RIVERSIDE COUNTY
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: CHU AND WATANABE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79592 Primary Status: Current - Active
Address :
31843 RANCHO CALIFORNIA RD STE 300
TEMECULA CA 92592
RIVERSIDE COUNTY
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: MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80731 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
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: LEE AND WOO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81025 Primary Status: Current - Active
Address :
72-333 HWY. 111 SUITE B
PALM DESERT CA 92260
RIVERSIDE COUNTY
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: DHAMA AND KADAKIA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81454 Primary Status: Current - Active
Address :
1312 E. ONTARIO AVENUE., SUITE 102
CORONA CA 92881
RIVERSIDE COUNTY
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: DAVID LEE AND FREDERICK LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 12048 Primary Status: Cancelled
Address :
34-460 MONTEREY AVENUE
SUITE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
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: FREDERICK LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8981 Primary Status: Cancelled
Address :
1074 W. SIXTH STREET
CORONA CA 92882
RIVERSIDE COUNTY
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: AMY YEN CHAU, DDS
License/Registration Type: Additional Office Permit
License Number: 79540 Primary Status: Current - Active
Address :
13334 LIMONITE AVE STE 120
CORONA CA 92880
RIVERSIDE COUNTY
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: WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79471 Primary Status: Cancelled
Address :
18285 COLLIER AVE STE B
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
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: LYNDA WATANABE PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79450 Primary Status: Cancelled
Address :
8735 TRAUTWEIN RD
RIVERSIDE CA 92508
RIVERSIDE COUNTY
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: TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80416 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 101
CORONA CA 92879
RIVERSIDE COUNTY
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: WATANABE AND WON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80733 Primary Status: Current - Active
Address :
8715 TRAUTWEIN ROAD, SUITE A
RIVERSIDE CA 92508
RIVERSIDE COUNTY
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: JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81198 Primary Status: Current - Active
Address :
3150 CASE ROAD, BUIDLING C
PERRIS CA 92570
RIVERSIDE COUNTY
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: WATANABE AND TRAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81464 Primary Status: Current - Active
Address :
40760 CALIFORNIA OAKS ROAD
MURRIETA CA 92562
RIVERSIDE COUNTY
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: PATEL AND LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81449 Primary Status: Current - Active
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
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: ALEXANDER TRAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79759 Primary Status: Cancelled
Address :
82151 AVENUE 42, STE 110
INDIO CA 92203
RIVERSIDE COUNTY
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: DHAMA AND KADAKIA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79985 Primary Status: Cancelled
Address :
1312 E ONTARIO AVENUE #102
CORONA CA 92881
RIVERSIDE COUNTY
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: ABRAMS AND LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79951 Primary Status: Current - Active
Address :
40705 WINCHESTER ROAD STE A103
TEMECULA CA 92591
RIVERSIDE COUNTY
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: LYNDA WATANABE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79457 Primary Status: Current - Active
Address :
29560 RANCHO CALIFORNIA RD STE 100
TEMECULA CA 92591
RIVERSIDE COUNTY
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: LEE, WATANABE AND NOSTI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80158 Primary Status: Current - Active
Address :
4000 W. FLORIDA AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
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: WATANABE AND ESPELETA PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79517 Primary Status: Current - Active
Address :
39209 WINCHESTER RD STE 100
MURRIETA CA 92563
RIVERSIDE COUNTY
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: WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80895 Primary Status: Cancelled
Address :
18285 COLLIER AVENUE, SUITE B
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
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: JASON ANTONIO DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81182 Primary Status: Current - Active
Address :
28080 CLINTON KEITH ROAD, SUITE 100
MURRIETA CA 92563
RIVERSIDE COUNTY
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: ROQUIZ AND DHAMA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81206 Primary Status: Current - Active
Address :
3955 BEDFORD CANYON ROAD, SUITE 101
CORONA CA 92883
RIVERSIDE COUNTY
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: DO-YABUT AND TRAN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81267 Primary Status: Current - Active
Address :
23905 CLINTON KEITH ROAD SUITE 108
WILDOMAR CA 92595
RIVERSIDE COUNTY
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: DAVID LEE AND FREDERICK LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80179 Primary Status: Cancelled
Address :
34-460 MONTEREY AVENUE, SUITE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
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: WATANABE AND LYNN DENTALCORPORATION
License/Registration Type: Additional Office Permit
License Number: 79445 Primary Status: Cancelled
Address :
29273 CENTRAL AVE STE A
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY
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: NATALIE LE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80162 Primary Status: Current - Active
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE COUNTY
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: HART AND LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79817 Primary Status: Cancelled
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
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: POULSEN DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79491 Primary Status: Current - Active
Address :
29121 NEWPORT RD STE 101
MENIFEE CA 92584
RIVERSIDE COUNTY
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: FREDERICK LEE, DDS
License/Registration Type: Additional Office Permit
License Number: 82019 Primary Status: Current - Active
Address :
18285 COLLIER AVE., SUITE B
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
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: CHEUNG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80186 Primary Status: Current - Active
Address :
78-595 HWY. 111, SUITE 300
LA QUINTA CA 92253
RIVERSIDE COUNTY
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: TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80420 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 102
CORONA CA 92879
RIVERSIDE COUNTY
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: KIM AND DO-YABUT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81077 Primary Status: Current - Active
Address :
24088 CLINTON KEITH ROAD. SUITE 100
WILDOMAR CA 92595
RIVERSIDE COUNTY
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: TRAN AND LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80964 Primary Status: Current - Active
Address :
42505 WASHINGTON STREET SUITE 101
PALM DESERT CA 92211
RIVERSIDE COUNTY
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: MERCER AND SHAKIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80992 Primary Status: Current - Active
Address :
3150 CASE RD, BLDG C
PERRIS CA 92570
RIVERSIDE COUNTY
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: JUSTIN NAMM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81513 Primary Status: Current - Active
Address :
1221 STATE ST SUITE D
SAN JACINTO CA 92583
RIVERSIDE COUNTY
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: SOHAL AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79323 Primary Status: Current - Active
Address :
1820 PERRIS BLVD STE 70
PERRIS CA 92571
RIVERSIDE COUNTY
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: HSIEH AND CHUNG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79986 Primary Status: Current - Active
Address :
12455 VICTORIA GARDENS LANE #190
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO COUNTY
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
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: LEE AND GHAZAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80182 Primary Status: Cancelled
Address :
72-333 HIGHWAY 111, SUITE B
PALM DESERT CA 92260
RIVERSIDE COUNTY
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: JIMMY CHEUNG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80911 Primary Status: Current - Active
Address :
34-460 MONTEREY AVE STE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
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: FREDERICK LEE AND CAROLYN GHAZAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11393 Primary Status: Cancelled
Address :
72-027 HIGHWAY 111, SUITE C
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY
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: JACKSON AND LEE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79128 Primary Status: Current - Active
Address :
40484 Murrieta Hot Springs Rd
SUITE 102
MURRIETA CA 92563-6438
RIVERSIDE COUNTY
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: MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79594 Primary Status: Cancelled
Address :
3150 CASE RD BLDG C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GENTLE DENTAL PERRIS, A DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4918 Primary Status: Cancelled
Address :
2560 N PERRIS BLVD, STE F-1
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PERRIS KIDS' DENTIST DENTAL GROUP, JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17147 Primary Status: Current - Active
Address :
3150 CASE ROAD BUILDING G-2
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LA QUINTA DENTAL GROUP CHEUNG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15144 Primary Status: Current - Active
Address :
78-595 HWY. 111, SUITE 300
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MARKETPLACE DENTAL GROUP, WATANABE AND LYNN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13780 Primary Status: Cancelled
Address :
29273 CENTRAL AVE STE A
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MY KID'S DENTIST DENTAL GROUP, KELLY KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18289 Primary Status: Current - Active
Address :
25100 HANCOCK AVENUE, SUITE 102
MURRIETA CA 92562
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOUTH CORONA DENTAL GROUP, DHAMA AND KADAKIA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17687 Primary Status: Current - Active
Address :
1312 E. ONTARIO AVENUE., SUITE 102
CORONA CA 92881
RIVERSIDE COUNTY
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
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONET DENTAL GROUP HSIEH AND CHUNG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14819 Primary Status: Current - Active
Address :
12455 VICTORIA GARDENS LANE., SUITE 190
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MAIN STREET DENTAL GROUP DHAMA AND RODGERS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14818 Primary Status: Cancelled
Address :
131 W ONTARIO AVENUE #102
CORONA CA 92882
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TEMECULA MODERN DENTISTRY DENTAL GROUP ABRAMS AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14724 Primary Status: Current - Active
Address :
40705 WINCHESTER ROAD, SUITE A103
TEMECULA CA 92591
RIVERSIDE COUNTY
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
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GROVE DENTAL GROUP, LYNDA WATANABE PROFESSIONAL DENTALCORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13774 Primary Status: Cancelled
Address :
8735 TRAUTWEIN RD
RIVERSIDE CA 92508
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP, MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14059 Primary Status: Cancelled
Address :
3150 CASE RD BLDG C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MY KID'S DENTIST DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15554 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 102
CORONA CA 92879
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PALM DESERT MODERN DENTISTRY DENTAL GROUP, TRAN AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16617 Primary Status: Current - Active
Address :
42505 WASHINGTON STREET SUITE 101
PALM DESERT CA 92211
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: INDIO MODERN DENTISTRY DENTAL GROUP, ALEXANDER TRAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17619 Primary Status: Current - Active
Address :
82151 AVENUE 42., SUITE 110
INDIO CA 92203
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESERT GATEWAY DENTAL GROUP, JIMMY CHEUNG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16506 Primary Status: Current - Active
Address :
34-460 MONTEREY AVE STE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DENTISTS OF SAN JACINTO DENTAL GROUP, JUSTIN NAMM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17644 Primary Status: Current - Active
Address :
1221 STATE ST SUITE D
SAN JACINTO CA 92583
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESERT CROSSING DENTAL GROUP AND ORTHODONTICS, LEE AND GHAZAL DEN
License/Registration Type: Fictitious Name Permit
License Number: 11218 Primary Status: Cancelled
Address :
72-333 HWY 111
SUITE B
PALM DESERT CA 92260
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PERRIS MODERN DENTISTRY DENTAL GROUP SOHAL AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13517 Primary Status: Current - Active
Address :
1820 PERRIS BLVD STE 70
PERRIS CA 92571
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EASTVALE SMILES DENTISTRY DENTAL GROUP, YEN AND DIMITRI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13918 Primary Status: Current - Active
Address :
13334 LIMONITE AVE STE 120
CORONA CA 92880
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TEMECULA DENTAL PRACTICE WALKER AND WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15208 Primary Status: Expired
Address :
29560 RANCHO CALIFORNIA ROAD, SUITE 100
TEMECULA CA 92591
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEMET MODERN DENTISTRY DENTAL GROUP HART AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14497 Primary Status: Cancelled
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MAIN STREET DENTAL GROUP, C.F. RODGERS, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13794 Primary Status: Cancelled
Address :
131 W ONTARIO AVE STE 102
CORONA CA 92882
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RANCHO MIRAGE DENTAL GROUP, FREDERICK LEE AND CAROLYN GHAZAL DENT
License/Registration Type: Fictitious Name Permit
License Number: 11219 Primary Status: Cancelled
Address :
72-027 HIGHWAY 111
SUITE C
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESERT GATEWAY DENTAL GROUP DAVID LEE AND FREDERICK LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12840 Primary Status: Cancelled
Address :
34-460 MONTEREY AVENUE, SUITE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14526 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESERT CROSSING DENTAL GROUP LEE AND GHAZAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15149 Primary Status: Cancelled
Address :
72-333 HIGHWAY 111, SUITE B
PALM DESERT CA 92260
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MONTCLAIR PLAZA DENTAL GROUP VIJAY B PATEL & ASSOC
License/Registration Type: Fictitious Name Permit
License Number: 1219 Primary Status: Cancelled
Address :
5182 N. MONTCLAIR PLAZA LN
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MEADOWS DENTAL GROUP, CHU AND WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14061 Primary Status: Current - Active
Address :
31843 RANCHO CALIFORNIA RD STE 300
TEMECULA CA 92592
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP, MERCER AND SHAKIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16657 Primary Status: Current - Active
Address :
3150 CASE ROAD BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MY KID'S DENTIST DENTAL GROUP, KIM AND DO-YABUT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16875 Primary Status: Current - Active
Address :
24088 CLINTON KEITH ROAD. SUITE 100
WILDOMAR CA 92595
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CLINTON KEITH DENTAL GROUP, DO-YABUT AND TRAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17266 Primary Status: Current - Active
Address :
23905 CLINTON KEITH ROAD SUITE 108G
WILDOMAR CA 92595
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MARKETPLACE DENTAL GROUP, LYNN AND NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19207 Primary Status: Current - Active
Address :
29273 CENTRAL AVE., SUITE A
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: INDIO MODERN DENTISTRY DENTAL GROUP ALEXANDER TRAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14411 Primary Status: Cancelled
Address :
82151 AVENUE 42, STE 110
INDIO CA 92203
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GENTLE DENTAL CORONA, A DENTAL OFFICE OF FREDERICK LEE DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 6688 Primary Status: Cancelled
Address :
1074 W. SIXTH STREET
CORONA CA 92882
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PALM SPRINGS MODERN DENTISTRY DENTAL GROUP NATALIE LE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13048 Primary Status: Cancelled
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP MERCER AN PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15215 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OAK GROVE DENTAL GROUP, WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13781 Primary Status: Cancelled
Address :
18285 COLLIER AVE STE B
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EAST MURIETA DENTAL GROUP, WATANABE AND ESPELETA PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13853 Primary Status: Cancelled
Address :
39209 WINCHESTER RD STE 100
MURRIETA CA 92563
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEDFORD MODERN DENTISTRY DENTAL GROUP, ROQUIZ AND DHAMA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17291 Primary Status: Current - Active
Address :
3955 BEDFORD CANYON ROAD., SUITE 101
CORONA CA 92883
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MURRIETA DENTAL GROUP, WATANABE AND VU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17624 Primary Status: Current - Active
Address :
25395 MADISON AVENUE, SUITE 103
MURRIETA CA 92562
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEMET MODERN DENTISTRY DENTAL GROUP, PATEL AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17658 Primary Status: Current - Active
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESERT GATEWAY DENTAL GROUP DAVID LEE AND FREDERICK LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15156 Primary Status: Cancelled
Address :
34-460 MONTEREY AVENUE, SUITE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PLAZA DENTAL GROUP, JACKSON AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13117 Primary Status: Current - Active
Address :
40484 Murrieta Hot Springs Rd
SUITE 102
MURRIETA CA 92563-6438
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CORONA HILLS MODERN DENTISTRY DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15537 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 101
CORONA CA 92879
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: GROVE DENTAL GROUP, WATANABE AND WON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16163 Primary Status: Current - Active
Address :
8715 TRAUTWEIN ROAD., SUITE A
RIVERSIDE CA 92508
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CROSSING DENTAL GROUP, MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16162 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MURRIETA DENTAL GROUP, WATANABE AND TRAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17704 Primary Status: Current - Active
Address :
40760 CALIFORNIA OAKS ROAD
MURRIETA CA 92562
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF WINCHESTER, DENTAL CORPORATION OF KYLE POULSEN
License/Registration Type: Fictitious Name Permit
License Number: 18797 Primary Status: Current - Active
Address :
32897 WESTERN HILLS DRIVE, SUITE 103
WINCHESTER CA 92596
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CORONA DENTAL CENTER, A DENTAL OFFICE OF FREDERICK LEE DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 6224 Primary Status: Cancelled
Address :
1074 W. SIXTH ST., STE. 104
CORONA CA 92882
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PERRIS FAMILY DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2790 Primary Status: Cancelled
Address :
2560 N PERRIS BLVD
PERRIS CA 92570
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PALM SPRINGS MODERN DENTISTRY DENTAL GROUP NATALIE LE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15172 Primary Status: Current - Active
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HEMET DENTAL GROUP LEE, WATANABE AND NOSTI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15169 Primary Status: Current - Active
Address :
4000 W. FLORIDA AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SOUTH CORONA DENTAL GROUP DHAMA AND KADAKIA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14822 Primary Status: Cancelled
Address :
1312 E ONTARIO AVE STE 102
CORONA CA 92881
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TEMECULA DENTAL PRACTICE, LYNDA WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13796 Primary Status: Current - Active
Address :
29560 RANCHO CALIFORNIA RD STE 100
TEMECULA CA 92591
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OAK GROVE DENTAL GROUP WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16467 Primary Status: Current - Active
Address :
18285 COLLIER AVENUE., SUITE B
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESERT CROSSING DENTAL GROUP, LEE AND WOO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16748 Primary Status: Current - Active
Address :
72-333 HWY. 111 SUITE B
PALM DESERT CA 92260
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MENIFEE LAKES DENTAL GROUP, POULSEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13804 Primary Status: Current - Active
Address :
29121 NEWPORT RD STE 101
MENIFEE CA 92584
RIVERSIDE COUNTY
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: GENTLE DENTAL PERRIS, A DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 4918 Primary Status: Cancelled
Address :
2560 N PERRIS BLVD, STE F-1
PERRIS CA 92570
RIVERSIDE COUNTY
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: LA QUINTA DENTAL GROUP CHEUNG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15144 Primary Status: Current - Active
Address :
78-595 HWY. 111, SUITE 300
MORENO VALLEY CA 92553
RIVERSIDE COUNTY
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: CROSSING DENTAL GROUP, MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16162 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
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: MURRIETA DENTAL GROUP, WATANABE AND VU DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17624 Primary Status: Current - Active
Address :
25395 MADISON AVENUE, SUITE 103
MURRIETA CA 92562
RIVERSIDE COUNTY
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: BEDFORD MODERN DENTISTRY DENTAL GROUP, ROQUIZ AND DHAMA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17291 Primary Status: Current - Active
Address :
3955 BEDFORD CANYON ROAD., SUITE 101
CORONA CA 92883
RIVERSIDE COUNTY
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: SOUTH CORONA DENTAL GROUP DHAMA AND KADAKIA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14822 Primary Status: Cancelled
Address :
1312 E ONTARIO AVE STE 102
CORONA CA 92881
RIVERSIDE COUNTY
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: HEMET DENTAL GROUP LEE, WATANABE AND NOSTI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15169 Primary Status: Current - Active
Address :
4000 W. FLORIDA AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
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: CROSSING DENTAL GROUP, MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14059 Primary Status: Cancelled
Address :
3150 CASE RD BLDG C
PERRIS CA 92570
RIVERSIDE COUNTY
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: MEADOWS DENTAL GROUP, CHU AND WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14061 Primary Status: Current - Active
Address :
31843 RANCHO CALIFORNIA RD STE 300
TEMECULA CA 92592
RIVERSIDE COUNTY
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: MY KID'S DENTIST DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15554 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 102
CORONA CA 92879
RIVERSIDE COUNTY
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: GROVE DENTAL GROUP, WATANABE AND WON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16163 Primary Status: Current - Active
Address :
8715 TRAUTWEIN ROAD., SUITE A
RIVERSIDE CA 92508
RIVERSIDE COUNTY
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: INDIO MODERN DENTISTRY DENTAL GROUP, ALEXANDER TRAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17619 Primary Status: Current - Active
Address :
82151 AVENUE 42., SUITE 110
INDIO CA 92203
RIVERSIDE COUNTY
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: MONET DENTAL GROUP HSIEH AND CHUNG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14819 Primary Status: Current - Active
Address :
12455 VICTORIA GARDENS LANE., SUITE 190
RANCHO CUCAMONGA CA 91739
SAN BERNARDINO COUNTY
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: TEMECULA DENTAL PRACTICE WALKER AND WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15208 Primary Status: Expired
Address :
29560 RANCHO CALIFORNIA ROAD, SUITE 100
TEMECULA CA 92591
RIVERSIDE COUNTY
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: PLAZA DENTAL GROUP, JACKSON AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13117 Primary Status: Current - Active
Address :
40484 Murrieta Hot Springs Rd
SUITE 102
MURRIETA CA 92563-6438
RIVERSIDE COUNTY
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: PERRIS KIDS' DENTIST DENTAL GROUP, JUSTIN MERCER AND NIDA SHAKIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17147 Primary Status: Current - Active
Address :
3150 CASE ROAD BUILDING G-2
PERRIS CA 92570
RIVERSIDE COUNTY
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: HEMET MODERN DENTISTRY DENTAL GROUP, PATEL AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17658 Primary Status: Current - Active
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
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: THE DENTAL OFFICE OF WINCHESTER, DENTAL CORPORATION OF KYLE POULSEN
License/Registration Type: Fictitious Name Permit
License Number: 18797 Primary Status: Current - Active
Address :
32897 WESTERN HILLS DRIVE, SUITE 103
WINCHESTER CA 92596
RIVERSIDE COUNTY
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: PERRIS FAMILY DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2790 Primary Status: Cancelled
Address :
2560 N PERRIS BLVD
PERRIS CA 92570
RIVERSIDE COUNTY
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: GENTLE DENTAL CORONA, A DENTAL OFFICE OF FREDERICK LEE DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 6688 Primary Status: Cancelled
Address :
1074 W. SIXTH STREET
CORONA CA 92882
RIVERSIDE COUNTY
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: CROSSING DENTAL GROUP MERCER AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14526 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
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: PALM SPRINGS MODERN DENTISTRY DENTAL GROUP NATALIE LE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15172 Primary Status: Current - Active
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE COUNTY
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: OAK GROVE DENTAL GROUP, WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13781 Primary Status: Cancelled
Address :
18285 COLLIER AVE STE B
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
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: HEMET MODERN DENTISTRY DENTAL GROUP HART AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14497 Primary Status: Cancelled
Address :
1115 S. SANDERSON AVENUE
HEMET CA 92545
RIVERSIDE COUNTY
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: GROVE DENTAL GROUP, LYNDA WATANABE PROFESSIONAL DENTALCORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13774 Primary Status: Cancelled
Address :
8735 TRAUTWEIN RD
RIVERSIDE CA 92508
RIVERSIDE COUNTY
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: SOUTH CORONA DENTAL GROUP, DHAMA AND KADAKIA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17687 Primary Status: Current - Active
Address :
1312 E. ONTARIO AVENUE., SUITE 102
CORONA CA 92881
RIVERSIDE COUNTY
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: MARKETPLACE DENTAL GROUP, LYNN AND NGUYEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 19207 Primary Status: Current - Active
Address :
29273 CENTRAL AVE., SUITE A
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY
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, FREDERICK LEE AND CAROLYN GHAZAL DENT
License/Registration Type: Fictitious Name Permit
License Number: 11219 Primary Status: Cancelled
Address :
72-027 HIGHWAY 111
SUITE C
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY
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: PALM SPRINGS MODERN DENTISTRY DENTAL GROUP NATALIE LE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13048 Primary Status: Cancelled
Address :
5001 E. RAMON ROAD, SUITE 104
PALM SPRINGS CA 92264
RIVERSIDE COUNTY
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: MARKETPLACE DENTAL GROUP, WATANABE AND LYNN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13780 Primary Status: Cancelled
Address :
29273 CENTRAL AVE STE A
LAKE ELSINORE CA 92532
RIVERSIDE COUNTY
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: MAIN STREET DENTAL GROUP DHAMA AND RODGERS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14818 Primary Status: Cancelled
Address :
131 W ONTARIO AVENUE #102
CORONA CA 92882
RIVERSIDE COUNTY
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: TEMECULA DENTAL PRACTICE, LYNDA WATANABE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13796 Primary Status: Current - Active
Address :
29560 RANCHO CALIFORNIA RD STE 100
TEMECULA CA 92591
RIVERSIDE COUNTY
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: EASTVALE SMILES DENTISTRY DENTAL GROUP, YEN AND DIMITRI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13918 Primary Status: Current - Active
Address :
13334 LIMONITE AVE STE 120
CORONA CA 92880
RIVERSIDE COUNTY
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: MAIN STREET DENTAL GROUP, C.F. RODGERS, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13794 Primary Status: Cancelled
Address :
131 W ONTARIO AVE STE 102
CORONA CA 92882
RIVERSIDE COUNTY
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: CORONA HILLS MODERN DENTISTRY DENTAL GROUP TREVOR THOMAS DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15537 Primary Status: Current - Active
Address :
460 N. MCKINLEY STREET, SUITE 101
CORONA CA 92879
RIVERSIDE COUNTY
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: DENTISTS OF SAN JACINTO DENTAL GROUP, JUSTIN NAMM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17644 Primary Status: Current - Active
Address :
1221 STATE ST SUITE D
SAN JACINTO CA 92583
RIVERSIDE COUNTY
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: MY KID'S DENTIST DENTAL GROUP, KELLY KIM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 18289 Primary Status: Current - Active
Address :
25100 HANCOCK AVENUE, SUITE 102
MURRIETA CA 92562
RIVERSIDE COUNTY
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: MURRIETA DENTAL GROUP, WATANABE AND TRAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17704 Primary Status: Current - Active
Address :
40760 CALIFORNIA OAKS ROAD
MURRIETA CA 92562
RIVERSIDE COUNTY
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: DESERT CROSSING DENTAL GROUP AND ORTHODONTICS, LEE AND GHAZAL DEN
License/Registration Type: Fictitious Name Permit
License Number: 11218 Primary Status: Cancelled
Address :
72-333 HWY 111
SUITE B
PALM DESERT CA 92260
RIVERSIDE COUNTY
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: PERRIS MODERN DENTISTRY DENTAL GROUP SOHAL AND PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13517 Primary Status: Current - Active
Address :
1820 PERRIS BLVD STE 70
PERRIS CA 92571
RIVERSIDE COUNTY
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: DESERT GATEWAY DENTAL GROUP DAVID LEE AND FREDERICK LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15156 Primary Status: Cancelled
Address :
34-460 MONTEREY AVENUE, SUITE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
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: CROSSING DENTAL GROUP MERCER AN PHAM DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15215 Primary Status: Cancelled
Address :
3150 CASE ROAD, BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
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: MENIFEE LAKES DENTAL GROUP, POULSEN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13804 Primary Status: Current - Active
Address :
29121 NEWPORT RD STE 101
MENIFEE CA 92584
RIVERSIDE COUNTY
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: DESERT GATEWAY DENTAL GROUP DAVID LEE AND FREDERICK LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12840 Primary Status: Cancelled
Address :
34-460 MONTEREY AVENUE, SUITE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
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: DESERT GATEWAY DENTAL GROUP, JIMMY CHEUNG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16506 Primary Status: Current - Active
Address :
34-460 MONTEREY AVE STE 100
PALM DESERT CA 92211
RIVERSIDE COUNTY
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: INDIO MODERN DENTISTRY DENTAL GROUP ALEXANDER TRAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14411 Primary Status: Cancelled
Address :
82151 AVENUE 42, STE 110
INDIO CA 92203
RIVERSIDE COUNTY
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: CORONA DENTAL CENTER, A DENTAL OFFICE OF FREDERICK LEE DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 6224 Primary Status: Cancelled
Address :
1074 W. SIXTH ST., STE. 104
CORONA CA 92882
RIVERSIDE COUNTY
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
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: TEMECULA MODERN DENTISTRY DENTAL GROUP ABRAMS AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14724 Primary Status: Current - Active
Address :
40705 WINCHESTER ROAD, SUITE A103
TEMECULA CA 92591
RIVERSIDE COUNTY
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
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: CLINTON KEITH DENTAL GROUP, DO-YABUT AND TRAN DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17266 Primary Status: Current - Active
Address :
23905 CLINTON KEITH ROAD SUITE 108G
WILDOMAR CA 92595
RIVERSIDE COUNTY
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: OAK GROVE DENTAL GROUP WATANABE AND LYNN PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16467 Primary Status: Current - Active
Address :
18285 COLLIER AVENUE., SUITE B
LAKE ELSINORE CA 92530
RIVERSIDE COUNTY
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: DESERT CROSSING DENTAL GROUP, LEE AND WOO DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16748 Primary Status: Current - Active
Address :
72-333 HWY. 111 SUITE B
PALM DESERT CA 92260
RIVERSIDE COUNTY
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: CROSSING DENTAL GROUP, MERCER AND SHAKIL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16657 Primary Status: Current - Active
Address :
3150 CASE ROAD BUILDING C
PERRIS CA 92570
RIVERSIDE COUNTY
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: MONTCLAIR PLAZA DENTAL GROUP VIJAY B PATEL & ASSOC
License/Registration Type: Fictitious Name Permit
License Number: 1219 Primary Status: Cancelled
Address :
5182 N. MONTCLAIR PLAZA LN
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY
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: DESERT CROSSING DENTAL GROUP LEE AND GHAZAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15149 Primary Status: Cancelled
Address :
72-333 HIGHWAY 111, SUITE B
PALM DESERT CA 92260
RIVERSIDE COUNTY
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: EAST MURIETA DENTAL GROUP, WATANABE AND ESPELETA PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13853 Primary Status: Cancelled
Address :
39209 WINCHESTER RD STE 100
MURRIETA CA 92563
RIVERSIDE COUNTY
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: PALM DESERT MODERN DENTISTRY DENTAL GROUP, TRAN AND LEE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16617 Primary Status: Current - Active
Address :
42505 WASHINGTON STREET SUITE 101
PALM DESERT CA 92211
RIVERSIDE COUNTY
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: MY KID'S DENTIST DENTAL GROUP, KIM AND DO-YABUT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16875 Primary Status: Current - Active
Address :
24088 CLINTON KEITH ROAD. SUITE 100
WILDOMAR CA 92595
RIVERSIDE COUNTY