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Licensing details for: 8296

Name: RODGERS AND DO DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

435 B SOUTH MELROSE DR
VISTA CA 92084
SAN DIEGO county
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Issuance Date

June 25, 2004

Expiration Date

August 31, 2017

Current Date / Time

June 7, 2025
3:24:23 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: RODGERS, CHARLES FREDERICK

License/Registration Type: Dentist License

License Number: 35324 Primary Status: Current - Active

Address :
131 W Ontario Ave
Suite 103
CORONA CA 92882-5274
RIVERSIDE COUNTY

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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: DO, DARREN TUAN

License/Registration Type: Dentist License

License Number: 49303 Primary Status: Current - Active

Address :
3530 Linda Lee Ave
ROSEMEAD CA 91770-2013
LOS ANGELES COUNTY

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