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Licensing details for: 82037

Name: RYAN EDALATPAJOUH, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

10470 FOOTHILL BOULEVARD, SUITE 126
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO county
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Practice Location

10470 FOOTHILL BOULEVARD, SUITE 126
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO county
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Issuance Date

January 24, 2025

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
2:32:15 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: EDALATPAJOUH, RYAN

License/Registration Type: Dentist License

License Number: 103910 Primary Status: Current - Active

Address :
4332 E Slauson Ave
MAYWOOD CA 90270-2848
LOS ANGELES COUNTY

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