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Licensing details for: 16671

Name: GENTLE DENTAL HUNTINGTON BEACH - A DENTAL OFFICE OF COX PROFESSIONAL DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

501 MAIN STREET, STE A
HUNTINGTON BEACH CA 92648
ORANGE county
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Practice Location

501 MAIN STREET
STE A
HUNTINGTON BEACH CA 92648
ORANGE county
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Issuance Date

July 26, 2021

Expiration Date

August 31, 2022

Current Date / Time

December 13, 2025
1:47:21 PM

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: 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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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: CHAUDHRY, MANU

License/Registration Type: Dentist License

License Number: 58484 Primary Status: Current - Active

Address :
24239 Hesperian Blvd
HAYWARD CA 94545-1526
ALAMEDA COUNTY

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