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Licensing details for: 10729

Name: CHILDREN'S DENTISTRY, DENTAL OFFICE OF JULIA BROWN, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

6331 HAVEN BLVD #12
RANCHO CUCAMONGA CA 91737
SAN BERNARDINO county
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Practice Location

6331 HAVEN BLVD #12
RANCHO CUCAMONGA CA 91737
SAN BERNARDINO county
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Issuance Date

September 13, 2013

Expiration Date

November 30, 2021

Current Date / Time

June 22, 2025
12:14:5 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BROWN, JULIA EILEEN

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: BROWN, JULIA EILEEN

License/Registration Type: Dentist License

License Number: 55044 Primary Status: Current - Active

Address :
6331 Haven Ave Ste 12
RANCHO CUCAMONGA CA 91737-6942
SAN BERNARDINO COUNTY

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