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Licensing details for: 7730

Name: DAISY B COYOCA, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

5051 CANYON CREST DR, #103
RIVERSIDE CA 92507
RIVERSIDE county
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Issuance Date

July 9, 2002

Expiration Date

April 30, 2006

Current Date / Time

June 3, 2026
9:58:27 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: COYOCA, DAISY BATHAN

License/Registration Type: Dentist License

License Number: 39951 Primary Status: Expired

Address :
5051 Canyon Crest Dr Ste 103
RIVERSIDE CA 92507-6035

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