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Licensing details for: 16219

Name: TEDDY DENTAL PRACTICE OF ANDIS ALMASI, DDS, MS, INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

72301 COUNTRY CLUB DR., SUITE 114
RANCHO MIRAGE CA 92270
RIVERSIDE county
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Practice Location

72301 COUNTRY CLUB DR., SUITE 114
RANCHO MIRAGE CA 92270
RIVERSIDE county
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Issuance Date

January 12, 2021

Expiration Date

November 30, 2027

Current Date / Time

December 13, 2025
7:54:45 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: MAYES, ANDIS ALMASI

License/Registration Type: Dentist License

License Number: 102936 Primary Status: Current - Active

Address :
72301 Country Club Dr
Suite 114
RANCHO MIRAGE CA 92270
RIVERSIDE COUNTY

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