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Licensing details for: 744

Name: BANG, ROBERT

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

911 W. Perdew Ave
RIDGECREST CA 93555-5642
KERN county
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Issuance Date

November 1, 2004

Expiration Date

November 30, 2024

Current Date / Time

June 21, 2025
9:43:2 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CHILDREN'S DENTAL GROUP, ROBERT BANG, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4519 Primary Status: Expired

Address :
501 JOYNER, STE B
RIDGECREST CA 93555
KERN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: Robert Bang, D.D.S., Inc.

License/Registration Type: Fictitious Name Permit

License Number: 17491 Primary Status: Current - Active

Address :
911 Perdew Ave
RIDGECREST CA 93555-5642
KERN 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: BANG, ROBERT

License/Registration Type: Dentist License

License Number: 43114 Primary Status: Current - Active

Address :
911 W PERDEW AVE
RIDGECREST CA 93555
KERN COUNTY

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