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Licensing details for: 3319

Name: TEMECULA ORTHODONTIC DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

41593 WINCHESTER ROAD #214
TEMECULA CA 92590
RIVERSIDE county
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Issuance Date

August 16, 2001

Expiration Date

September 30, 2022

Current Date / Time

December 13, 2025
1:59:50 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: LUTHER, MICHAEL LOUIS

License/Registration Type: Dentist License

License Number: 23125 Primary Status: Current - Active

Address :
913 EAST VALLEY PARKWAY
ESCONDIDO CA 92025
SAN DIEGO COUNTY

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