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Licensing details for: 11464

Name: DRS EBENEZER AND RACHEL JOHNSON DDS. INC.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

511 S Riverside Ave
RIALTO CA 92376-7027
SAN BERNARDINO county
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Practice Location

511 S. RIVERSIDE AVE
RIALTO CA 92376
SAN BERNARDINO county
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Issuance Date

July 1, 2014

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
3:54:29 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: JOHNSON, EBENEZER

License/Registration Type: Dentist License

License Number: 36088 Primary Status: Current - Active

Address :
440 N Mountain Ave
Suite #101
UPLAND CA 91786
SAN BERNARDINO COUNTY

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