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Licensing details for: 15962

Name: GENTLE DENTAL PANAMA - A DENTAL OFFICE OF WILLIAM COX DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

3150 PANAMA LANE, SUITE I
BAKERSFIELD CA 93313
KERN county
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Practice Location

3150 PANAMA LANE, SUITE I
BAKERSFIELD CA 93313-3730
KERN county
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Issuance Date

September 8, 2020

Expiration Date

August 31, 2022

Current Date / Time

June 6, 2025
1:28:57 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CADALSO, ROBERT TOMAS JR

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COX, WILLIAM JOSEPH

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: CADALSO, ROBERT TOMAS JR

License/Registration Type: Dentist License

License Number: 30639 Primary Status: Deceased

Address :
2855 Chateau Way
LAGUNA BEACH CA 92651-2010
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: COX, WILLIAM JOSEPH

License/Registration Type: Dentist License

License Number: 26160 Primary Status: Current - Active

Address :
4950 BARRANCA PKWY #105
IRVINE CA 92604
ORANGE COUNTY

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