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Licensing details for: 9028

Name: TIMOTHY D VERNY, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner Corporation

Previous Names: FRATT DENTAL CORPORATION

Address of Record

81730 HIGHWAY 111 STE 8
INDIO CA 92201
RIVERSIDE county
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Practice Location

6633 ATLANTIC BLVD.
BELL CA 90201
LOS ANGELES county
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Issuance Date

June 15, 2006

Expiration Date

May 31, 2007

Current Date / Time

June 7, 2025
7:29:24 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: FRATT, DENNIS R

License/Registration Type: Dentist License

License Number: 24779 Primary Status: Expired

Address :
1005 BAYSIDE COVE
NEWPORT BEACH CA 92660
ORANGE 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: VERNY, TIMOTHY D

License/Registration Type: Dentist License

License Number: 48778 Primary Status: Current - Active

Address :
15017 Hawthorne Blvd
LAWNDALE CA 90260-1504
LOS ANGELES COUNTY

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