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Licensing details for: 2369

Name: ROBLES, ARMINDA VIVIANA

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

505 WEST VERNESS STREET
COVINA CA 91723
LOS ANGELES county
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Practice Location

250 SOUTH G ST
SAN BERNARDINO CA 92410
SAN BERNARDINO county
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5628 Van Buren Blvd
RIVERSIDE CA 92503-2080
RIVERSIDE county
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Issuance Date

August 11, 2010

Expiration Date

December 31, 2023

Current Date / Time

June 6, 2025
3:35:50 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF ROBLES, RODEF & YAGHOUBI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15624 Primary Status: Current - Active

Address :
5628 VAN BUREN BLVD SUITE #A
RIVERSIDE CA 92503
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF ROBLES, BOZORGMANESH, RODEF & YAGHOUBI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14480 Primary Status: Cancelled

Address :
5628 VAN BUREN BLVD SUITE #A
RIVERSIDE CA 92503
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF, YAGHOUBI, ROBLES DENTAL OFFICE OF COLTON, INC.

License/Registration Type: Fictitious Name Permit

License Number: 17972 Primary Status: Expired

Address :
1280 E. WASHINGTON STREET, SUITE B10,
COLTON CA 92324
SAN BERNARDINO 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: ROBLES, ARMINDA VIVIANA

License/Registration Type: Dentist License

License Number: 56506 Primary Status: Current - Active

Address :
5628 Van Buren Blvd
RIVERSIDE CA 92503-2080
RIVERSIDE COUNTY

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