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Licensing details for: 80749

Name: STEVEN WOLFRAM, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

78461 CA-111
LA QUINTA CA 92253
RIVERSIDE county
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Practice Location

78461 CA-111
LA QUINTA CA 92253
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Issuance Date

December 16, 2020

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
11:38:37 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: WOLFRAM, STEVEN MARK

License/Registration Type: Dentist License

License Number: 52164 Primary Status: Current - Active

Address :
11834 BRYANT STREET
SUITE 104
YUCAIPA CA 92399
SAN BERNARDINO COUNTY

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