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Licensing details for: 19468

Name: FULLER SMILES DENTAL PRACTICE OF TARAN KAUR REYNOLDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

9808 VENICE BLVD SUITE 503
CULVER CITY CA 90232
LOS ANGELES county
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Issuance Date

April 22, 2025

Expiration Date

April 30, 2027

Current Date / Time

April 8, 2026
4:12:10 AM

License Relationships

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: REYNOLDS, TARAN KAUR

License/Registration Type: Dentist License

License Number: 63429 Primary Status: Current - Active

Address :
224 EAST BASELINE RD
RIALTO CA 92376
SAN BERNARDINO COUNTY

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