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Licensing details for: 10264

Name: PALMER DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2105 SAN JOAQUIN HILL RD.
NEWPORT BEACH CA 92660
ORANGE county
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Issuance Date

August 31, 2010

Expiration Date

November 30, 2012

Current Date / Time

June 6, 2025
3:19:54 PM

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: PALMER, PAUL BRIAN

License/Registration Type: Dentist License

License Number: 28603 Primary Status: Current - Inactive

Address :
23569 Sunnymead Ranch Pkwy
ste A
MORENO VALLEY CA 92557-2884
RIVERSIDE COUNTY

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