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Licensing details for: 16449

Name: SIGNATURE SMILES AYOUBY AND BEBING DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Partnership

Address of Record

14140 MERIDIAN PKWY., SUITE 102
MARCH AIR RESERVE BA CA 92518
RIVERSIDE county
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Practice Location

14140 MERIDIAN PKWY., SUITE 102
MARCH AIR RESERVE BA CA 92518
RIVERSIDE county
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Issuance Date

April 12, 2021

Expiration Date

March 31, 2027

Current Date / Time

June 21, 2025
9:30:38 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AYOUBY, HARUN

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: BEBING, GEOMEL BRIAN VILLAREAL

License/Registration Type: Dentist License

License Number: 104939 Primary Status: Current - Active

Address :
19934 Cara Cara Cir
RIVERSIDE CA 92507-1591
RIVERSIDE 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: AYOUBY, HARUN

License/Registration Type: Dentist License

License Number: 103777 Primary Status: Current - Active

Address :
14140 Meridian Pkwy
Suite 102
RIVERSIDE CA 92518-3043
RIVERSIDE COUNTY

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