Dental Board of California
Licensing details for: 48337
Name: MOORE, ANDREA CHRISTIANE
License Type: Dentist
Primary Status: Current - Active
Address of Record
1875 N Campus Ave
UPLAND CA 91784-8208
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: 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: RITESH KUMAR, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 80212 Primary Status: Cancelled
Address :
15667 ROY ROGERS DRIVE, SUITE A-101
VICTORVILLE CA 92394
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: SANAZ KHALEGHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80858 Primary Status: Cancelled
Address :
1620 2ND STREET MARKETPLACE, SUITE A
BEAUMONT CA 92223
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: RITESH KUMAR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79466 Primary Status: Cancelled
Address :
12821 MAIN ST STE 150
HESPERIA CA 92345
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: KUMAR AND STROMBERG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79447 Primary Status: Cancelled
Address :
12821 MAIN ST STE 120
HESPERIA CA 92345
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: SAMBANGI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80957 Primary Status: Current - Active
Address :
3660 GRAND AVE STE C
CHINO HILLS CA 91709
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: LOOMBA DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81162 Primary Status: Cancelled
Address :
4190 E. 4TH STREET, SUITE C
ONTARIO CA 91764
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: SUDHAKAR R. CHOKKA, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 79468 Primary Status: Cancelled
Address :
1629 S RIVERSIDE AVE
RIALTO CA 92376
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: AWAD AND MOORE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 11936 Primary Status: Cancelled
Address :
2071 RANCHO VALLEY DRIVE
SUITE 140
POMONA CA 91766
LOS ANGELES 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: GILL AND SAMBANGI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 81243 Primary Status: Expired
Address :
3410 GRAND AVENUE., SUITE F
CHINO HILLS CA 91709
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: MOORE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79463 Primary Status: Cancelled
Address :
1620 2ND ST MARKETPLACE STE A
BEAUMONT CA 92223
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: ISKAQ AND GILL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79469 Primary Status: Cancelled
Address :
2216 FOOTHILL BLVD
LA VERNE CA 91750
LOS ANGELES 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: SAMBANGI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79455 Primary Status: Cancelled
Address :
3410 GRAND AVE STE F
CHINO HILLS CA 91709
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: RITESH KUMAR AND LOUIS STROMBERG DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79462 Primary Status: Cancelled
Address :
15667 ROY ROGERS DR STE A-101
VICTORVILLE CA 92394
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: SAMBANGI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80948 Primary Status: Expired
Address :
3410 GRAND AVENUE SUITE F
CHINO HILLS CA 91709
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: MANORANJANI SAMBANGI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79525 Primary Status: Expired
Address :
6961 SCHAEFER AVE
CHINO CA 91710
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: ANDREA MOORE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79957 Primary Status: Current - Active
Address :
1620 E 1ST ST STE 200
BEAUMONT CA 92223
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: MOORE DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 9768 Primary Status: Cancelled
Address :
1620 2ND STREET MARKETPLACE
STE. A
BEAUMONT CA 92223
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: 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: PEGGY CHU DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79461 Primary Status: Cancelled
Address :
2841 S DIAMOND BAR BLVD STE B
DIAMOND BAR CA 91765
LOS ANGELES 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: JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79265 Primary Status: Cancelled
Address :
16745 SIERRA LAKES PKWY STE 140
FONTANA CA 92336
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: RITESH KUMAR DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80210 Primary Status: Cancelled
Address :
12821 MAIN STREET, SUITE 150
HESPERIA CA 92345
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
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ONTARIO SMILES DENTISTRY DENTAL GROUP, LOOMBA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17072 Primary Status: Cancelled
Address :
4190 E. 4TH STREET, SUITE C
ONTARIO CA 91764
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DIAMOND BAR SMILES DENTISTRY DENTAL GROUP, PEGGY CHU DENTAL COPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13791 Primary Status: Cancelled
Address :
2841 S DIAMOND BAR BLVD STE B
DIAMOND BAR CA 91765
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEAUMONT SMILES DENTISTRY DENTAL GROUP, SANAZ KHALEGHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16446 Primary Status: Cancelled
Address :
1620 2ND ST MARKETPLACE, STE A
BEAUMONT CA 92223
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEAUMONT SMILES DENTAL GROUP, MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13787 Primary Status: Cancelled
Address :
1620 2ND STREET MARKETPLACE STE A
BEAUMONT CA 92223
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEAUMONT SMILES DENTISTRY DENTAL GROUP, MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15686 Primary Status: Cancelled
Address :
1620 2ND STREET MARKETPLACE., SUITE A
BEAUMONT CA 92223
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RIALTO DENTAL GROUP, SUDHAKAR R. CHOKKA, D.D.S.,INC.
License/Registration Type: Fictitious Name Permit
License Number: 13784 Primary Status: Cancelled
Address :
1629 S RIVERSIDE AVE
RIALTO CA 92376
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MY KIDS DENTIST DENTAL GROUP, KUMAR AND STROMBERG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13776 Primary Status: Cancelled
Address :
12821 MAIN ST STE 120
HESPERIA CA 92345
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SIERRA LAKES DENTAL GROUP JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13409 Primary Status: Expired
Address :
16475 SIERRA LAKES PKWY STE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HIGH DESERT SMILES DENTISTRY DENTAL GROUP, RITESH KUMAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13786 Primary Status: Cancelled
Address :
12821 MAIN ST STE 150
HESPERIA CA 92345
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESERT SKY DENTAL GROUP RITESH KUMAR, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15206 Primary Status: Cancelled
Address :
15667 ROY ROGERS DRIVE SUITE A-101
VICTORVILLE CA 92394
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESERT SKY DENTAL GROUP, RITESH KUMAR AND LOUIS STROMBERG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13792 Primary Status: Cancelled
Address :
15667 ROY ROGERS DR STE A-101
VICTORVILLE CA 92394
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHINO SMILES DENTAL GROUP, MANORANJANI SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13866 Primary Status: Expired
Address :
6961 SCHAEFER AVE
CHINO CA 91710
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL OFFICE OF BEAUMONT ANDREA MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14743 Primary Status: Cancelled
Address :
1600 E 1ST ST STE 200
BEAUMONT CA 92223
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHINO HILLS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16589 Primary Status: Current - Active
Address :
3660 GRAND AVE STE C
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHINO HILLS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16588 Primary Status: Expired
Address :
3410 GRAND AVE STE F
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MY KID'S DENTISTS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16564 Primary Status: Current - Active
Address :
3580 GRAND AVENUE SUITE K
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LA VERNE DENTAL GROUP, ISKAQ AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13783 Primary Status: Cancelled
Address :
2216 FOOTHILL BLVD
LA VERNE CA 91750
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHINO SMILES DENTAL GROUP, PARK AND SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14060 Primary Status: Cancelled
Address :
6961 SCHAEFER AVE
CHINO CA 91710
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: HIGH DESERT SMILES DENTISTRY DENTAL GROUP RITESH KUMAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15204 Primary Status: Cancelled
Address :
12821 MAIN STREET, SUITE 150
HESPERIA CA 92345
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CHINO HILLS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13798 Primary Status: Cancelled
Address :
3410 GRAND AVE STE F
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
FNP Owners
License/Registration Role: Owners
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 Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: POMONA DENTISTRY DENTAL GROUP AWAD AND MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12276 Primary Status: Cancelled
Address :
2071 RANCHO VALLEY DRIVE,
SUITE 140
POMONA CA 91766
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BEAUMONT SMILES DENTAL GROUP, MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 7829 Primary Status: Cancelled
Address :
1620 2ND STREET MARKETPLACE
STE. A
BEAUMONT CA 92223
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: SIERRA LAKES DENTAL GROUP JEFFERSON AND SCHMIDT DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13409 Primary Status: Expired
Address :
16475 SIERRA LAKES PKWY STE 140
FONTANA CA 92336
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: HIGH DESERT SMILES DENTISTRY DENTAL GROUP, RITESH KUMAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13786 Primary Status: Cancelled
Address :
12821 MAIN ST STE 150
HESPERIA CA 92345
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: CHINO HILLS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13798 Primary Status: Cancelled
Address :
3410 GRAND AVE STE F
CHINO HILLS CA 91709
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: BEAUMONT SMILES DENTISTRY DENTAL GROUP, SANAZ KHALEGHI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16446 Primary Status: Cancelled
Address :
1620 2ND ST MARKETPLACE, STE A
BEAUMONT CA 92223
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: CHINO HILLS DENTAL GROUP, GILL AND SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17248 Primary Status: Expired
Address :
17000 RED HILL AVENUE
IRVINE CA 92614
ORANGE 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 SKY DENTAL GROUP RITESH KUMAR, D.D.S., INC.
License/Registration Type: Fictitious Name Permit
License Number: 15206 Primary Status: Cancelled
Address :
15667 ROY ROGERS DRIVE SUITE A-101
VICTORVILLE CA 92394
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: CHINO SMILES DENTAL GROUP, MANORANJANI SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13866 Primary Status: Expired
Address :
6961 SCHAEFER AVE
CHINO CA 91710
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: CHINO HILLS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16589 Primary Status: Current - Active
Address :
3660 GRAND AVE STE C
CHINO HILLS CA 91709
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: CHINO SMILES DENTAL GROUP, PARK AND SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14060 Primary Status: Cancelled
Address :
6961 SCHAEFER AVE
CHINO CA 91710
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: MY KID'S DENTISTS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16564 Primary Status: Current - Active
Address :
3580 GRAND AVENUE SUITE K
CHINO HILLS CA 91709
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: BEAUMONT SMILES DENTISTRY DENTAL GROUP, MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15686 Primary Status: Cancelled
Address :
1620 2ND STREET MARKETPLACE., SUITE A
BEAUMONT CA 92223
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 SKY DENTAL GROUP, RITESH KUMAR AND LOUIS STROMBERG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13792 Primary Status: Cancelled
Address :
15667 ROY ROGERS DR STE A-101
VICTORVILLE CA 92394
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: ONTARIO SMILES DENTISTRY DENTAL GROUP, LOOMBA DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 17072 Primary Status: Cancelled
Address :
4190 E. 4TH STREET, SUITE C
ONTARIO CA 91764
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: BEAUMONT SMILES DENTAL GROUP, MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 7829 Primary Status: Cancelled
Address :
1620 2ND STREET MARKETPLACE
STE. A
BEAUMONT CA 92223
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 KIDS DENTIST DENTAL GROUP, KUMAR AND STROMBERG DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13776 Primary Status: Cancelled
Address :
12821 MAIN ST STE 120
HESPERIA CA 92345
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: RIALTO DENTAL GROUP, SUDHAKAR R. CHOKKA, D.D.S.,INC.
License/Registration Type: Fictitious Name Permit
License Number: 13784 Primary Status: Cancelled
Address :
1629 S RIVERSIDE AVE
RIALTO CA 92376
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: DIAMOND BAR SMILES DENTISTRY DENTAL GROUP, PEGGY CHU DENTAL COPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13791 Primary Status: Cancelled
Address :
2841 S DIAMOND BAR BLVD STE B
DIAMOND BAR CA 91765
LOS ANGELES 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: CHINO HILLS DENTAL GROUP, SAMBANGI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16588 Primary Status: Expired
Address :
3410 GRAND AVE STE F
CHINO HILLS CA 91709
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: POMONA DENTISTRY DENTAL GROUP AWAD AND MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 12276 Primary Status: Cancelled
Address :
2071 RANCHO VALLEY DRIVE,
SUITE 140
POMONA CA 91766
LOS ANGELES 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: HIGH DESERT SMILES DENTISTRY DENTAL GROUP RITESH KUMAR DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 15204 Primary Status: Cancelled
Address :
12821 MAIN STREET, SUITE 150
HESPERIA CA 92345
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: BEAUMONT SMILES DENTAL GROUP, MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13787 Primary Status: Cancelled
Address :
1620 2ND STREET MARKETPLACE STE A
BEAUMONT CA 92223
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: 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 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: THE DENTAL OFFICE OF BEAUMONT ANDREA MOORE DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14743 Primary Status: Cancelled
Address :
1600 E 1ST ST STE 200
BEAUMONT CA 92223
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 VERNE DENTAL GROUP, ISKAQ AND GILL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13783 Primary Status: Cancelled
Address :
2216 FOOTHILL BLVD
LA VERNE CA 91750
LOS ANGELES COUNTY
