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Licensing details for: 1457

Name: HILLSDALE DENTAL GROUP, ROBERT RIDEAU, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

360 HILLSDALE MALL
SAN MATEO CA 94403
SAN MATEO county
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Issuance Date

August 30, 1996

Expiration Date

April 30, 2003

Current Date / Time

December 13, 2025
11:24:57 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: GRIGGS, REGINALD ARNOLD

License/Registration Type: Dentist License

License Number: 31619 Primary Status: Current - Active

Address :
20265 Lake Chabot Rd
CASTRO VALLEY CA 94546
ALAMEDA 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: RIDEAU, ROBERT DAVID

License/Registration Type: Dentist License

License Number: 32170 Primary Status: Current - Active

Address :
19 W 39th Ave
SAN MATEO CA 94403-4593
SAN MATEO 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: PEREZ, PAUL THOMAS

License/Registration Type: Dentist License

License Number: 31684 Primary Status: Current - Active

Address :
2844 Summit Street
206
OAKLAND CA 94609
ALAMEDA COUNTY

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