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Licensing details for: 62014

Name: WADHWA, PUNEET

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

3055 S Archibald Ave Ste C1
ONTARIO CA 91761-9007
SAN BERNARDINO county
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Practice Location

3055 S Archibald Ave # C-1
ONTARIO CA 91761-9007
SAN BERNARDINO county
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Issuance Date

October 25, 2012

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
2:27:43 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ONTARIO KIDS 'N BRACES DENTAL OFFICE OF DRS. KHULLAR AND WADHWA

License/Registration Type: Fictitious Name Permit

License Number: 12900 Primary Status: Expired

Address :
3333 CONCOURS STREET, BUILDING 6, SUITE 201
ONTARIO CA 91764
SAN BERNARDINO 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: ONTARIO KIDS 'N BRACES DENTAL OFFICE OF DRS. KHULLAR AND WADHWA

License/Registration Type: Fictitious Name Permit

License Number: 12900 Primary Status: Expired

Address :
3333 CONCOURS STREET, BUILDING 6, SUITE 201
ONTARIO CA 91764
SAN BERNARDINO COUNTY

Map

OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: WADHWA, PUNEET

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3464 Primary Status: Cancelled

Address :
1928 Ano Nuevo Dr
DIAMOND BAR CA 91765-2950
LOS ANGELES COUNTY

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