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Licensing details for: 7068

Name: WATANABE DENTAL CORPORARTION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

40770 CALIFORNIA OAKS ROAD
SUITE 100
MURRIETA CA 92562
RIVERSIDE county
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Issuance Date

September 10, 1999

Expiration Date

December 31, 2023

Current Date / Time

June 6, 2025
3:36:8 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: 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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