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Licensing details for: 20957

Name: Dentists of Smoke Tree, Dental Group of Dentists of Smoke Tree, Inc.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2465 E Palm Canyon Dr Ste 605
PALM SPRINGS CA 92264-7003
RIVERSIDE county
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Issuance Date

August 28, 2026

Expiration Date

August 31, 2028

Current Date / Time

September 8, 2026
9:30:27 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: CAMACHO, CLAUDIA

License/Registration Type: Dentist License

License Number: 103989 Primary Status: Current - Active

Address :
892 W Beverly Blvd
MONTEBELLO CA 90640-4213
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: MINEO ESCARENO, SCARLETT ANAI

License/Registration Type: Dentist License

License Number: 108069 Primary Status: Current - Active

Address :
2465 E Palm Canyon Dr
Suite 605
PALM SPRINGS CA 92264-7000
RIVERSIDE 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: DHAMA, DEEPIKA S

License/Registration Type: Dentist License

License Number: 49044 Primary Status: Current - Active

Address :
2044 California Ave
CORONA CA 92881-3300
RIVERSIDE 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: ZAKLAMA, KARIM MAGID

License/Registration Type: Dentist License

License Number: 61349 Primary Status: Current - Active

Address :
2700 E Workman Ave
WEST COVINA CA 91791-6625
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: MERCER, JUSTIN WILLIAM

License/Registration Type: Dentist License

License Number: 59375 Primary Status: Current - Active

Address :
3150 Case Rd Bldg C
PERRIS CA 92570-5552
RIVERSIDE COUNTY

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