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Licensing details for: 10428

Name: PACIFIC DENTAL GROUP AND ORTHODONTICS, ALDAZ AND WATANABE DENTAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

31754 TEMECULA PARKWAY
TEMECULA CA 92592
RIVERSIDE county
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Practice Location

31754 TEMECULA PARKWAY
TEMECULA CA 92592
RIVERSIDE county
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Issuance Date

April 30, 2013

Expiration Date

September 30, 2020

Current Date / Time

June 7, 2025
8:25:32 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RYGG, LANCE CHRISTIAN

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: RYGG, LANCE CHRISTIAN

License/Registration Type: Dentist License

License Number: 30251 Primary Status: Cancelled

Address :
9862 E MISSION GORGE RD, STE E
SANTEE CA 92071
SAN DIEGO COUNTY

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