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Licensing details for: 11926

Name: GENTLE DENTAL RIVERSIDE-TYLER VILLAGE, A DENTAL OFFICE OF COX DEN

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: GENTLE DENTAL RIVERSIDE-TYLER, A DENTAL OFFICE OF COX DENTAL CORPORATION

Address of Record

10168 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE county
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Issuance Date

March 18, 2015

Expiration Date

August 31, 2022

Current Date / Time

June 6, 2025
2:10:34 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COX, WILLIAM 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: 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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