Dental Board of California
Licensing details for: 47103
Name: JACKSON, TANISHA ANJANETTE
License Type: Dentist
Primary Status: Current - Active
Address of Record
422 Orange St
REDLANDS CA 92374-3206
SAN BERNARDINO 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: PARK AND JACKSON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81142 Primary Status: Cancelled
Address :
1047 E. HARRIMAN PLACE, SUITE B
SAN BERNARDINO CA 92408
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: JACKSON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79467 Primary Status: Cancelled
Address :
422 ORANGE ST
REDLANDS CA 92374
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: JACKSON AND MOORE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8558 Primary Status: Cancelled
Address :
1047 HARRIMAN PLACE, STE B
SAN BERNARDINO CA 92408
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: MAYBERRY DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81532 Primary Status: Current - Active
Address :
1047 E. HARRIMAN PLACE, SUITE B
SAN BERNARDINO CA 92408
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: PENAFLORIDA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80235 Primary Status: Current - Active
Address :
2878 CAMPUS PKWY., SUITE 1
RIVERSIDE CA 92507
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 MOORE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80301 Primary Status: Expired
Address :
1047 E. HARRIMAN PLACE, SUITE B
SAN BERNARDINO CA 92408
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: DANG, JACKSON AND MOORE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11896 Primary Status: Cancelled
Address :
1047 E HARRIMAN PLACE
SUITE B
SAN BERNARDINO CA 92408
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: JACKSON DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80504 Primary Status: Cancelled
Address :
422 ORANGE STREET
REDLANDS CA 92374
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: JACKSON AND AULICK DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81158 Primary Status: Current - Active
Address :
422 ORANGE STREET
REDLANDS CA 92374
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: HUB PLAZA DENTAL GROUP, JACKSON AND MOORE DENTAL CORP.
License/Registration Type: Fictitious Name Permit
License Number: 5613 Primary Status: Cancelled
Address :
1047 Harriman Pl Ste B
SAN BERNARDINO CA 92408-4203
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: HUB PLAZA DENTAL GROUP, MAYBERRY DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17896 Primary Status: Current - Active
Address :
1047 E. HARRIMAN PLACE, SUITE B
SAN BERNARDINO CA 92408
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: HUB PLAZA DENTAL GROUP JACKSON AND MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15366 Primary Status: Cancelled
Address :
1047 E. HARRIMAN PLACE, SUITE B
SAN BERNARDINO CA 92408
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: HUB PLAZA DENTAL GROUP, PARK AND JACKSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16471 Primary Status: Cancelled
Address :
1047 E. HARRIMAN PLACE SUITE B
SAN BERNARDINO CA 92408
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: REDLANDS DENTAL GROUP, JACKSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13785 Primary Status: Cancelled
Address :
422 ORANGE ST
REDLANDS CA 92374
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: REDLANDS DENTAL GROUP, JACKSON DENTAL CORP
License/Registration Type: Fictitious Name Permit
License Number: 3878 Primary Status: Cancelled
Address :
422 Orange St
REDLANDS CA 92374-3206
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: CANYON SPRINGS DENTAL GROUP PENAFLORIDA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15251 Primary Status: Current - Active
Address :
2878 CAMPUS PKWY., SUITE 1
RIVERSIDE CA 92507
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: REDLANDS DENTAL GROUP, JACKSON AND AULICK DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17053 Primary Status: Current - Active
Address :
422 ORANGE STREET
REDLANDS CA 92374
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: REDLANDS DENTAL GROUP, JACKSON DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15683 Primary Status: Cancelled
Address :
422 ORANGE STREET
REDLANDS CA 92374
SAN BERNARDINO COUNTY
