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Licensing details for: 10172

Name: SUMMIT SMILES CHILDREN'S DENTISTRY, DENTAL OFFICE OF JASON S. CHI

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: SUMMIT SMILES CHILDREN'S DENTISTRY

Address of Record

15218 SUMMIT AVNEUE, STE. 150
FONTANA CA 92336
SAN BERNARDINO county
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Practice Location

15218 SUMMIT AVNEUE, STE. 150
FONTANA CA 92336
SAN BERNARDINO county
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Issuance Date

October 26, 2012

Expiration Date

September 30, 2026

Current Date / Time

December 13, 2025
9:41:29 AM

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: CHING, JASON STUART

License/Registration Type: Dentist License

License Number: 53202 Primary Status: Current - Active

Address :
15218 Summit Ave
STE 150
FONTANA CA 92336-0232
SAN BERNARDINO COUNTY

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