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Licensing details for: 46017

Name: ANTOLIN, RALPH CALUAG

License Type: Dentist

Primary Status: Current - Active

Previous Names: ANTOLIN, RALPH C

Address of Record

1644 W CALDWELL AVE
STE A
VISALIA CA 93277
TULARE county
Map

Issuance Date

May 13, 1999

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
8:10:54 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VISALIA FAMILY DENTISTRY, DENTAL OFFICE OF RALPH C. ANTOLIN DENTA

License/Registration Type: Fictitious Name Permit

License Number: 7872 Primary Status: Current - Active

Address :
1644 W CALDWELL AVE #A
VISALIA CA 93277
TULARE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VISALIA FAMILY DENTISTRY

License/Registration Type: Fictitious Name Permit

License Number: 2887 Primary Status: Cancelled

Address :
4239 W MINERAL KING AVENUE
VISALIA CA 93277
TULARE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: VISALIA FAMILY DENTISTRY

License/Registration Type: Fictitious Name Permit

License Number: 2905 Primary Status: Cancelled

Address :
4239 W MINERAL KING AVENUE
VISALIA CA 93277
TULARE 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: VISALIA FAMILY DENTISTRY

License/Registration Type: Fictitious Name Permit

License Number: 2887 Primary Status: Cancelled

Address :
4239 W MINERAL KING AVENUE
VISALIA CA 93277
TULARE 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: VISALIA FAMILY DENTISTRY, DENTAL OFFICE OF RALPH C. ANTOLIN DENTA

License/Registration Type: Fictitious Name Permit

License Number: 7872 Primary Status: Current - Active

Address :
1644 W CALDWELL AVE #A
VISALIA CA 93277
TULARE 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: VISALIA FAMILY DENTISTRY

License/Registration Type: Fictitious Name Permit

License Number: 2905 Primary Status: Cancelled

Address :
4239 W MINERAL KING AVENUE
VISALIA CA 93277
TULARE COUNTY

Map

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