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Licensing details for: 17002

Name: CROWN DENTAL CARE DENTAL OFFICE OF DR. LOTUACO

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: CROWN DENTAL CARE DENTAL OFFICE OF LOTUACO DENTAL CORPORATION

Address of Record

2217 NILES POINT
BAKERSFIELD CA 93306
KERN county
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Practice Location

2217 NILES POINT
BAKERSFIELD CA 93306
KERN county
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Issuance Date

January 21, 2022

Expiration Date

April 30, 2027

Current Date / Time

June 6, 2025
7:1:15 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LOTUACO, RAYMOND JOVEN

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: LOTUACO, RAYMOND JOVEN

License/Registration Type: Dentist License

License Number: 48744 Primary Status: Current - Active

Address :
2217 Niles Pt
BAKERSFIELD CA 93306-4023
KERN COUNTY

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