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Licensing details for: 11141

Name: JOAN TO, D.D.S., INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE county
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Practice Location

10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE county
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Issuance Date

July 12, 2013

Expiration Date

October 30, 2018

Current Date / Time

June 7, 2025
5:7:6 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: TO, JOAN THANH

License/Registration Type: Dentist License

License Number: 53880 Primary Status: Current - Active

Address :
5023 Pacific Coast Hwy
TORRANCE CA 90505-5441

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