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Licensing details for: 16033

Name: ALICIA DENTISTRY, DENTAL PRACTICE OF BOYD DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

24481 ALICIA PARKWAY., #B-3
MISSION VIEJO CA 92691
ORANGE county
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Practice Location

24481 ALICIA PARKWAY., #B-3
MISSION VIEJO CA 92691
ORANGE county
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Issuance Date

September 29, 2020

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
1:58:4 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BOYD, RODNEY WAYNE

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BOYD, ANTHONY QUINTIN

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: BOYD, RODNEY WAYNE

License/Registration Type: Dentist License

License Number: 39760 Primary Status: Current - Active

Address :
22972 MOULTON PKWY #106
LAGUNA HILLS CA 92653
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: BOYD, ANTHONY QUINTIN

License/Registration Type: Dentist License

License Number: 38650 Primary Status: Current - Active

Address :
362 E Vanderbilt Way
SAN BERNARDINO CA 92408-3593
SAN BERNARDINO COUNTY

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