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Licensing details for: 81701

Name: DIANE LEE BOVAL DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

11875 PIGEON PASS RD. STE B9
MORENO VALLEY CA 92557
RIVERSIDE county
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Practice Location

11875 PIGEON PASS RD. STE B9
MORENO VALLEY CA 92557
RIVERSIDE county
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Issuance Date

January 17, 2024

Expiration Date

January 31, 2026

Current Date / Time

June 6, 2025
10:20:4 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: BOVAL, DIANE LEE

License/Registration Type: Dentist License

License Number: 48630 Primary Status: Current - Active

Address :
901 W Whittier Blvd
LA HABRA CA 90631-3743
ORANGE COUNTY

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