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Licensing details for: 7242

Name: MOODY & NICHOLLS, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

360 SAN MIGUEL ROAD #402
NEWPORT BEACH CA 92660
ORANGE county
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Issuance Date

September 7, 2000

Expiration Date

May 31, 2006

Current Date / Time

June 7, 2025
6:43:40 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: MOODY, REX C

License/Registration Type: Dentist License

License Number: 24148 Primary Status: Cancelled

Address :
507 N SULLIVAN STE 120
SPOKANE VALLEY WA 99037

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