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Licensing details for: 12031

Name: BOYD DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

44100 D JEFFERSON ST #404
INDIO CA 92201
RIVERSIDE county
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Practice Location

44100 D JEFFERSON ST
#404
INDIO CA 92201
RIVERSIDE county
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Issuance Date

October 2, 2015

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
3:26:30 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: BOYD, ANTHONY QUINTIN

License/Registration Type: Dentist License

License Number: 38650 Primary Status: Current - Active

Address :
362 E Vanderbilt Way
SAN BERNARDINO CA 92408-3593
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: BOYD, RODNEY WAYNE

License/Registration Type: Dentist License

License Number: 39760 Primary Status: Current - Active

Address :
22972 MOULTON PKWY #106
LAGUNA HILLS CA 92653
ORANGE COUNTY

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