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Licensing details for: 81263

Name: SM WOLFRAM, DDS, INC.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

42500 BOB HOPE DR STE 1
RANCHO MIRAGE CA 92270
RIVERSIDE county
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Practice Location

42500 BOB HOPE DR STE 1
RANCHO MIRAGE CA 92270
RIVERSIDE county
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Issuance Date

August 29, 2022

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
11:47:27 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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