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Licensing details for: 79778

Name: ROBLES, BOZORGMANESH, RODEF & YAGHOUBI DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

5628 VAN BUREN BLVD, STE A
RIVERSIDE CA 92503
RIVERSIDE county
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Practice Location

5628 VAN BUREN BLVD, STE A
RIVERSIDE CA 92503
RIVERSIDE county
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Issuance Date

August 21, 2018

Expiration Date

January 31, 2023

Current Date / Time

June 6, 2025
3:41:1 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: ROBLES, ARMINDA VIVIANA

License/Registration Type: Dentist License

License Number: 56506 Primary Status: Current - Active

Address :
5628 Van Buren Blvd
RIVERSIDE CA 92503-2080
RIVERSIDE 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: RODEF, FARIBORZ

License/Registration Type: Dentist License

License Number: 38356 Primary Status: Current - Active

Address :
2233 E GARVEY AVE N
WEST COVINA CA 91791
LOS ANGELES 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: YAGHOUBI, EDMOND

License/Registration Type: Dentist License

License Number: 58304 Primary Status: Current - Active

Address :
1748 S Corning St
LOS ANGELES CA 90035-4302
LOS ANGELES COUNTY

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