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Licensing details for: 81008

Name: EDGAR D. ROQUE, DDS, INC

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

719 N. DOUTY STREET
HANFORD CA 93230
KINGS county
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Practice Location

719 N. DOUTY STREET
HANFORD CA 93230-3986
KINGS county
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Issuance Date

August 4, 2021

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
10:22:10 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: ROQUE, EDGAR DONES

License/Registration Type: Dentist License

License Number: 55681 Primary Status: Current - Active

Address :
420 W. SHIELDS AVE
FRESNO CA 93705
FRESNO COUNTY

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