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Licensing details for: 1311

Name: BELTON, MICHAEL JOHN

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

11886 Arch Hill Dr
CORONA CA 92883-1647
RIVERSIDE county
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Issuance Date

October 14, 2004

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
7:1:12 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTER FOR ORAL, FACIAL AND IMPLANT SURGERY MICHAEL J. BELTON, DDS, MD, INC. DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 12638 Primary Status: Current - Active

Address :
2045 COMPTON AVENUE, SUITE 102
CORONA CA 92881
RIVERSIDE COUNTY

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GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: BELTON, MICHAEL JOHN

License/Registration Type: Dentist License

License Number: 52203 Primary Status: Current - Active

Address :
11886 Arch Hill Dr
CORONA CA 92883-1647
RIVERSIDE COUNTY

Map

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