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Licensing details for: 13566

Name: EUCLID FAMILY DENTISTRY, A DENTAL PRACTICE OF GARDNER DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

421 EUCLID AVE
CORONA CA 92881
RIVERSIDE county
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Practice Location

211 N Euclid Ave
211 N Euclid Ave
ONTARIO CA 91762-3512
SAN BERNARDINO county
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421 EUCLID AVE
CORONA CA 92881
RIVERSIDE county
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Issuance Date

June 5, 2017

Expiration Date

January 31, 2027

Current Date / Time

December 13, 2025
7:56:51 AM

License Relationships

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: GARDNER, MICHAEL DEAN

License/Registration Type: Dentist License

License Number: 60485 Primary Status: Current - Active

Address :
1617 E 1st St
Suite A
SANTA ANA CA 92701-6385
ORANGE COUNTY

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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: GARDNER, ASAL

License/Registration Type: Dentist License

License Number: 61418 Primary Status: Current - Active

Address :
211 N EUCLID AVE
ONTARIO CA 91762
SAN BERNARDINO COUNTY

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