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Licensing details for: 17390

Name: GENTLE DENTAL SANTA ROSA - A DENTAL OFFICE OF WILLIAM COX DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: WILLIAM COX DENTAL CORPORATION

Address of Record

1421 GUERNEVILLE RD STE 102
SANTA ROSA CA 95403
SONOMA county
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Practice Location

1421 GUERNEVILLE RD STE 102
CA 95403
SONOMA county
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Issuance Date

October 6, 2022

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
1:55:2 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COX, WILLIAM JOSEPH

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: 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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