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Licensing details for: 17491

Name: CHILDREN'S DENTAL GROUP DENTAL OFFICE OF DR. ROBERT BANG

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Previous Names: Robert Bang, D.D.S., Inc.

Address of Record

911 Perdew Ave
RIDGECREST CA 93555
KERN county
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Practice Location

911 Perdew Ave
RIDGECREST CA 93555-5642
KERN county
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Issuance Date

November 8, 2022

Expiration Date

November 30, 2026

Current Date / Time

June 21, 2025
9:34:19 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BANG, ROBERT

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: BANG, ROBERT

License/Registration Type: Dentist License

License Number: 43114 Primary Status: Current - Active

Address :
911 W PERDEW AVE
RIDGECREST CA 93555
KERN COUNTY

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