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Licensing details for: 52674

Name: QUEIROZ, LUCIANE ITO DE

License Type: Dentist

Primary Status: Current - Active

Previous Names: QUEIROZ, LUCIANE

Address of Record

2160 White Ln
BAKERSFIELD CA 93304-6915
KERN county
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Issuance Date

July 8, 2004

Expiration Date

June 30, 2025

Current Date / Time

June 6, 2025
8:17:45 PM

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: QUEIROZ DENTAL, INC.

License/Registration Type: Additional Office Permit

License Number: 10565 Primary Status: Cancelled

Address :
207 H STREET
BAKERSFIELD CA 93304
KERN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MASTERPIECE DENTAL, PRACTICE OF QUEIROZ DENTAL INC.

License/Registration Type: Fictitious Name Permit

License Number: 9581 Primary Status: Cancelled

Address :
207 H STREET
BAKERSFIELD CA 93304
KERN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WHITE LANE FAMILY DENTISTRY, DENTAL OFFICE OF DR. LUCIANE QUEIROZ

License/Registration Type: Fictitious Name Permit

License Number: 7101 Primary Status: Current - Active

Address :
2160 WHITE LANE
BAKERSFIELD CA 93304
KERN COUNTY

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FNP to DDS or OMS

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

Related Party Role: Fictitious Name Permit

Name: MASTERPIECE DENTAL, PRACTICE OF QUEIROZ DENTAL INC.

License/Registration Type: Fictitious Name Permit

License Number: 9581 Primary Status: Cancelled

Address :
207 H STREET
BAKERSFIELD CA 93304
KERN COUNTY

Map

FNP to DDS or OMS

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

Related Party Role: Fictitious Name Permit

Name: WHITE LANE FAMILY DENTISTRY, DENTAL OFFICE OF DR. LUCIANE QUEIROZ

License/Registration Type: Fictitious Name Permit

License Number: 7101 Primary Status: Current - Active

Address :
2160 WHITE LANE
BAKERSFIELD CA 93304
KERN COUNTY

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