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Licensing details for: 17442

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

82900 AVENUE 42 STE B103
INDIO CA 92203
RIVERSIDE county
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Practice Location

82900 AVENUE 42 STE B103
INDIO CA 92203
RIVERSIDE county
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Issuance Date

October 25, 2022

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
2:7:42 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MAYES, ANDIS ALMASI

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: 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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