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Licensing details for: 2077

Name: TO, JOAN THANH

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Address of Record

10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE county
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Practice Location

5023 Pacific Coast Hwy
TORRANCE CA 90505-5441
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Issuance Date

January 5, 2010

Expiration Date

June 30, 2017

Current Date / Time

June 7, 2025
10:7:45 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GATEWAY DENTAL GROUP AND ORTHODONTICS, JOAN TO, D.D.S., INC.

License/Registration Type: Fictitious Name Permit

License Number: 10737 Primary Status: Cancelled

Address :
10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BEACH CITY DENTAL GROUP BLACK AND TO DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13515 Primary Status: Current - Active

Address :
1509 HAWTHORNE BLVD STE 102
REDONDO BEACH CA 90278
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GATEWAY DENTAL GROUP, BOLURO-AJAYI AND TO DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14249 Primary Status: Cancelled

Address :
10286 INDIANA AVE
RIVERSIDE CA 92503
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DENTISTS OF SOUTH BAY DENTAL GROUP JOAN THANH TO DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 12932 Primary Status: Current - Active

Address :
5023 PACIFIC COAST HIGHWAY
TORRANCE CA 90505
LOS ANGELES COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: TO, JOAN THANH

License/Registration Type: Dentist License

License Number: 53880 Primary Status: Current - Active

Address :
5023 Pacific Coast Hwy
TORRANCE CA 90505-5441

Map

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