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Licensing details for: 9393

Name: ERIK SOUTHERS, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Previous Names: ERIK SOUTHERS

Address of Record

450 S. SECOND AVE.
BARSTOW CA 92311
SAN BERNARDINO county
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Issuance Date

June 28, 2007

Expiration Date

August 31, 2025

Current Date / Time

June 6, 2025
10:24:22 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: SOUTHERS, ERIK LEROY

License/Registration Type: Dentist License

License Number: 42888 Primary Status: Current - Active

Address :
5001 W Cerritos Ave
Suite #B
CYPRESS CA 90630-4570
ORANGE COUNTY

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