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Licensing details for: 82253

Name: NATHANIEL LENG, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Fontana Modern Dentistry, Inc.

Address of Record

10189 Citrus Avenue Suite B
FONTANA CA 92335
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Practice Location

10189 Citrus Avenue Suite B
FONTANA CA 92335
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Issuance Date

June 24, 2025

Expiration Date

February 28, 2027

Current Date / Time

October 30, 2025
12:43:34 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: LENG, NATHANIEL WEN-WEI

License/Registration Type: Dentist License

License Number: 61763 Primary Status: Current - Active

Address :
34880 Yucaipa Blvd
YUCAIPA CA 92399-4235
SAN BERNARDINO COUNTY

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