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Licensing details for: 10078

Name: BUTAY AND PHUI, DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2150 N. WATERMAN AVE.
STE. 103
SAN BERNARDINO CA 92404
SAN BERNARDINO county
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Practice Location

2150 NORTH WATERMAN AVENUE #103
SAN BERNARDINO CA 92404
SAN BERNARDINO county
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Issuance Date

January 27, 2010

Expiration Date

May 31, 2026

Current Date / Time

December 13, 2025
9:47:29 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: BUTAY, NELSON SINFUEGO

License/Registration Type: Dentist License

License Number: 48887 Primary Status: Current - Active

Address :
265 N. EUCLID AVE
UPLAND CA 91786
SAN BERNARDINO COUNTY

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