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Licensing details for: 2959

Name: INLAND DENTAL OF MORENO VALLEY

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

24655 SUNNYMEAD BLVD
MORENO VALLEY CA 92553
RIVERSIDE county
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Issuance Date

November 9, 2000

Expiration Date

May 31, 2005

Current Date / Time

December 15, 2025
9:7:7 PM

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: CARLISLE, DAVID JAMES

License/Registration Type: Dentist License

License Number: 43765 Primary Status: Current - Active

Address :
31737 Riverside Dr
Suite B
LAKE ELSINORE CA 92530-7890
RIVERSIDE COUNTY

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