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Licensing details for: 79758

Name: CLINT WALKER DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

270 E. 17TH STREET, STE 15
COSTA MESA CA 92627
ORANGE county
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Practice Location

270 E. 17TH STREET, STE 15
COSTA MESA CA 92627
ORANGE county
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Issuance Date

August 14, 2018

Expiration Date

October 31, 2025

Current Date / Time

June 7, 2025
3:12:26 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: WALKER, CLINT CODY

License/Registration Type: Dentist License

License Number: 63663 Primary Status: Current - Active

Address :
270 E 17th St
Ste 15
COSTA MESA CA 92627-3861
ORANGE COUNTY

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