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Licensing details for: 80364

Name: MICHAEL VINCENT LAUREOLA, DDS, INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2862 CANYON SPRINGS PARKWAY, BUILDING C
RIVERSIDE CA 92522
RIVERSIDE county
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Practice Location

2862 CANYON SPRINGS PARKWAY, BUILDING C
RIVERSIDE CA 92522
RIVERSIDE county
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Issuance Date

November 13, 2019

Expiration Date

March 31, 2021

Current Date / Time

April 7, 2026
1:34:55 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: LAUREOLA, MICHAEL VINCENT

License/Registration Type: Dentist License

License Number: 55121 Primary Status: Current - Active

Address :
1800 S Pacific Coast Hwy
51
REDONDO BEACH CA 90277-6185
LOS ANGELES COUNTY

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