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Licensing details for: 13184

Name: MORENO VALLEY BRACES DENTAL OFFICE OF MICHAEL L. LUTHER DDS

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: MORENO VALLEY BRACES DENTAL OFFICE OF MICHAEL LUTHER DDS

Address of Record

24104 SUNNYMEAD BLVD
MORENO VALLEY CA 92553
RIVERSIDE county
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Practice Location

24104 SUNNYMEAD BLVD
MORENO VALLEY CA 92553
RIVERSIDE county
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Issuance Date

November 22, 2016

Expiration Date

September 30, 2022

Current Date / Time

June 21, 2025
9:26:53 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LUTHER, MICHAEL LOUIS

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: LUTHER, MICHAEL LOUIS

License/Registration Type: Dentist License

License Number: 23125 Primary Status: Current - Active

Address :
913 EAST VALLEY PARKWAY
ESCONDIDO CA 92025
SAN DIEGO COUNTY

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