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Licensing details for: 81434

Name: ESPINO & MEDIAN DDS INC.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

2211 UNIVERSITY AVE
RIVERSIDE CA 92507
RIVERSIDE county
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Practice Location

2211 UNIVERSITY AVE
RIVERSIDE CA 92507
RIVERSIDE county
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Issuance Date

February 21, 2023

Expiration Date

January 31, 2025

Current Date / Time

June 6, 2025
2:18:52 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: Espino, Elizabeth Alicia

License/Registration Type: Dentist License

License Number: 63173 Primary Status: Current - Active

Address :
2211 University Ave
RIVERSIDE CA 92507-4259

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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: MEDINA, DAVID O

License/Registration Type: Dentist License

License Number: 57425 Primary Status: Current - Active

Address :
2211 University Ave
RIVERSIDE CA 92507-4259
RIVERSIDE COUNTY

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