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Licensing details for: 19142

Name: WIZ KIDS DENTAL PRERNA GARG DDS INC. DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3845 LA SIERRA AVE SUITE 101B
RIVERSIDE CA 92505
RIVERSIDE county
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Practice Location

3845 LA SIERRA AVE SUITE 101B
RIVERSIDE CA 92505
RIVERSIDE county
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Issuance Date

December 6, 2024

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
10:51:13 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GARG, PRERNA

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: GARG, PRERNA

License/Registration Type: Dentist License

License Number: 102280 Primary Status: Current - Active

Address :
90 Vantis Dr
1122
ALISO VIEJO CA 92656-2556
ORANGE COUNTY

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