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Licensing details for: 10163

Name: GENTLE DENTAL COSTA MESA - A DENTAL OFFICE OF COX DENTAL CORPORAT

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2000 N. HARBOR BOULEVARD, STE. B-100
COSTA MESA CA 92627
ORANGE county
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Practice Location

2000 N. HARBOR BOULEVARD, STE. B-100
COSTA MESA CA 92627
ORANGE county
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Issuance Date

October 4, 2012

Expiration Date

August 31, 2020

Current Date / Time

December 13, 2025
5:37:53 PM

License Relationships

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: COX, WILLIAM JOSEPH

License/Registration Type: Dentist License

License Number: 26160 Primary Status: Current - Active

Address :
4950 BARRANCA PKWY #105
IRVINE CA 92604
ORANGE COUNTY

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