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Licensing details for: 14231

Name: OASIS DENTAL, DENTAL PRACTICE OF DR PINKY PENALOSA

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

9203 Archibald Ave.
RANCHO CUCAMONGA CA 91730
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Practice Location

9203 Archibald Ave
RANCHO CUCAMONGA CA 91730-5207
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Issuance Date

May 17, 2018

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
6:52:20 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PENALOSA, PINKY DEL FIERRO

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: PENALOSA, PINKY DEL FIERRO

License/Registration Type: Dentist License

License Number: 52769 Primary Status: Current - Active

Address :
9203 Archibald Ave
RANCHO CUCAMONGA CA 91730-5207
SAN BERNARDINO COUNTY

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