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Licensing details for: 15623

Name: RIVERSIDE TOOTH CO. DENTAL PRACTICE, SANDHU DMD

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

6886 INDIANA AVE SUITE B
RIVERSIDE CA 92506
RIVERSIDE county
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Practice Location

6886 INDIANA AVE SUITE B
RIVERSIDE CA 92506
RIVERSIDE county
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Issuance Date

January 28, 2020

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
1:50:11 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SANDHU, KABIR RAM

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: SANDHU, KABIR RAM

License/Registration Type: Dentist License

License Number: 63061 Primary Status: Current - Active

Address :
6886 Indiana Ave
RIVERSIDE CA 92506-4218
RIVERSIDE COUNTY

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