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Licensing details for: 12804

Name: GENTLE DENTAL HUNTINGTON BEACH - A DENTAL OFFICE OF COX DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

501 MAIN STREET, SUITE A
HUNTINGTON BEACH CA 92648
ORANGE county
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Practice Location

501 MAIN STREET, SUITE A
HUNTINGTON BEACH CA 92648
ORANGE county
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Issuance Date

April 26, 2016

Expiration Date

August 31, 2018

Current Date / Time

June 6, 2025
2:8:17 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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