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Licensing details for: 7508

Name: RODGERS PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

5731-A SANTA ANA CANYON ROAD
ANAHEIM CA 92807
ORANGE county
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Issuance Date

September 14, 2001

Expiration Date

August 31, 2015

Current Date / Time

June 7, 2025
3:17:59 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: RODGERS, CHARLES FREDERICK

License/Registration Type: Dentist License

License Number: 35324 Primary Status: Current - Active

Address :
131 W Ontario Ave
Suite 103
CORONA CA 92882-5274
RIVERSIDE COUNTY

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