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Licensing details for: 17884

Name: DESERT VALLEY DENTAL GROUP, NAPPOLY DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

16868 Main Street
HESPERIA CA 92345
SAN BERNARDINO county
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Practice Location

16868 Main Street
HESPERIA CA 92345
SAN BERNARDINO county
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Issuance Date

June 6, 2023

Expiration Date

July 31, 2025

Current Date / Time

June 6, 2025
2:6:29 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: NAPPOLY, ANJUM

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: NAPPOLY, ANJUM

License/Registration Type: Dentist License

License Number: 106449 Primary Status: Current - Active

Address :
27431 San Bernardino Ave
160
REDLANDS CA 92374-5054
SAN BERNARDINO COUNTY

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