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Licensing details for: 79090

Name: ESPARZA DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

5250 Philadelphia St
#O
CHINO CA 91710-2483
SAN BERNARDINO county
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Practice Location

5250 Philadelphia St
#O
CHINO CA 91710-2483
SAN BERNARDINO county
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Issuance Date

September 7, 2016

Expiration Date

May 31, 2019

Current Date / Time

December 13, 2025
3:46:16 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: ESPARZA, BLANCA MARTINEZ

License/Registration Type: Dentist License

License Number: 41648 Primary Status: Current - Active

Address :
213 W G St
ONTARIO CA 91762-3227
SAN BERNARDINO COUNTY

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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: ESPARZA, OSCAR BERNADAC

License/Registration Type: Dentist License

License Number: 45252 Primary Status: Current - Active

Address :
213 West G St
213 West G St
ONTARIO CA 91762
SAN BERNARDINO COUNTY

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