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Licensing details for: 1859

Name: HAMILTON DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1111 E TAHQUITZ CANYON WAY
SUITE 211
PALM SPRINGS CA 92262
RIVERSIDE county
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Issuance Date

January 30, 1998

Expiration Date

September 30, 2000

Current Date / Time

June 7, 2025
9:32:41 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: WILLIAMS, ANTHONY FRED

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HALDY, GLENN EDWARD

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HAMILTON, JOZEF THOMAS

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: WILLIAMS, ANTHONY FRED

License/Registration Type: Dentist License

License Number: 30026 Primary Status: Cancelled

Address :
439 S WESTMINSTER AVE, #303
IN CARE OF KENNETH BONNER
LOS ANGELES CA 90020
LOS ANGELES COUNTY

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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: HAMILTON, JOZEF THOMAS

License/Registration Type: Dentist License

License Number: 24712 Primary Status: Expired

Address :
19608 Tomahawk Rd
APPLE VALLEY CA 92307-5009
SAN BERNARDINO COUNTY

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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: HALDY, GLENN EDWARD

License/Registration Type: Dentist License

License Number: 39411 Primary Status: Current - Active

Address :
1930 Capistrano St
SAN DIEGO CA 92106-1707
SAN DIEGO COUNTY

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