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Licensing details for: 5073

Name: MARK ALAN CONOVER, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

29645 RANCHO CALIFORNIA RD
SUITE 129
TEMECULA CA 92591
RIVERSIDE county
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Issuance Date

March 13, 1992

Expiration Date

June 30, 2009

Current Date / Time

June 6, 2025
2:29:6 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: CONOVER, MARK A

License/Registration Type: Dentist License

License Number: 28914 Primary Status: Current - Active

Address :
30975 E Sunset Dr S
REDLANDS CA 92373-7449
SAN BERNARDINO COUNTY

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