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Licensing details for: 12638

Name: CENTER FOR ORAL, FACIAL AND IMPLANT SURGERY MICHAEL J. BELTON, DDS, MD, INC. DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2045 COMPTON AVENUE, SUITE 102
CORONA CA 92881
RIVERSIDE county
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Issuance Date

February 4, 2016

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
10:8:32 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BELTON, MICHAEL JOHN

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: BELTON, MICHAEL JOHN

License/Registration Type: Dentist License

License Number: 52203 Primary Status: Current - Active

Address :
11886 Arch Hill Dr
CORONA CA 92883-1647
RIVERSIDE COUNTY

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