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Licensing details for: 10155

Name: INLAND VALLEY ORAL SURGERY + IMPLANT CENTER MORENO VALLEY DENTAL

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

24104 SUNNYMEAD BOULEVARD, STE. B
MORENO VALLEY CA 92553
RIVERSIDE county
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Practice Location

24104 SUNNYMEAD BOULEVARD, STE. B
MORENO VALLEY CA 92553
RIVERSIDE county
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Issuance Date

October 4, 2012

Expiration Date

March 31, 2027

Current Date / Time

June 22, 2025
12:27:43 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DANESH, JOSEPH

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: DANESH, JOSEPH

License/Registration Type: Dentist License

License Number: 52368 Primary Status: Current - Active

Address :
24104 Sunnymead Blvd.
Unit # B
MORENO VALLEY CA 92553
RIVERSIDE COUNTY

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