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Licensing details for: 2697

Name: STEWART DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1518 NILES STREET
BAKERSFIELD CA 93305
KERN county
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Issuance Date

March 31, 2000

Expiration Date

October 31, 2005

Current Date / Time

December 13, 2025
7:53:19 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: STEWART, WILBURN CARSON

License/Registration Type: Dentist License

License Number: 31395 Primary Status: Voluntary Surrendered

Address :
203 WALNUT STREET
POCOMORE MD 21851
WORCESTER COUNTY

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