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Licensing details for: 10952

Name: KIM AND WATANABE DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

24635 MADISON AVENUE, SUITE E
MURRIETA CA 92562
RIVERSIDE county
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Practice Location

24635 MADISON AVENUE, SUITE E
MURRIETA CA 92562
RIVERSIDE county
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Issuance Date

April 5, 2013

Expiration Date

March 31, 2019

Current Date / Time

October 30, 2025
1:9:32 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: RYGG, LANCE CHRISTIAN

License/Registration Type: Dentist License

License Number: 30251 Primary Status: Cancelled

Address :
9862 E MISSION GORGE RD, STE E
SANTEE CA 92071
SAN DIEGO COUNTY

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