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Licensing details for: 10565

Name: QUEIROZ DENTAL, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: QUEIROZ DENTAL INC.

Address of Record

207 H STREET
BAKERSFIELD CA 93304
KERN county
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Issuance Date

September 14, 2011

Expiration Date

June 30, 2013

Current Date / Time

June 6, 2025
7:43:15 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: QUEIROZ, LUCIANE ITO DE

License/Registration Type: Dentist License

License Number: 52674 Primary Status: Current - Active

Address :
2160 White Ln
BAKERSFIELD CA 93304-6915
KERN COUNTY

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