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Licensing details for: 10047

Name: RANCHO CUCAMONGA ORTHODONTICS, DENTAL OFFICE OF ROBERT C. STOCKDA

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: RANCHO CUCAMONGA ORTHODONTICS ROBERT C. STOCKDALE, DDS, MS, PC

Address of Record

9080 MILLIKEN AVENUE, STE. 100
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO county
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Practice Location

9080 MILLIKEN AVENUE, STE. 100
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO county
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Issuance Date

July 18, 2012

Expiration Date

January 31, 2017

Current Date / Time

June 6, 2025
1:58:25 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: STOCKDALE, ROBERT CHARLES

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: STOCKDALE, ROBERT CHARLES

License/Registration Type: Dentist License

License Number: 30716 Primary Status: Current - Active

Address :
10399 Foothill Blvd
Suite 102
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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