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Licensing details for: 11907

Name: GERALD LOPEZ AND LOUIS STROMBERG DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

12218 Apple Valley Rd
BLDG 1, SUITE 110
APPLE VALLEY CA 92308-1703
SAN BERNARDINO county
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Practice Location

12218 APPLE VALLEY ROAD
BLDG 1 SUITE 110
APPLE VALLEY CA 92308
SAN BERNARDINO county
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Issuance Date

June 5, 2015

Expiration Date

August 31, 2020

Current Date / Time

June 6, 2025
3:25:14 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: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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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: LOPEZ, GERALD

License/Registration Type: Dentist License

License Number: 57332 Primary Status: Current - Active

Address :
12218 Apple Valley Rd
Bldg 1, Ste 110
APPLE VALLEY CA 92308-1703
SAN BERNARDINO COUNTY

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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: STROMBERG, LOUIS ZANE

License/Registration Type: Dentist License

License Number: 30879 Primary Status: Expired

Address :
16868 MAIN STREET
HESPERIA CA 92345
SAN BERNARDINO COUNTY

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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: WATANABE, BRYAN KAZUMI

License/Registration Type: Dentist License

License Number: 40130 Primary Status: Current - Active

Address :
40760 California Oaks Rd.
MURRIETA CA 92562
RIVERSIDE COUNTY

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