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Licensing details for: 3878

Name: REDLANDS DENTAL GROUP, JACKSON DENTAL CORP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

422 Orange St
REDLANDS CA 92374-3206
SAN BERNARDINO county
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Issuance Date

September 4, 2002

Expiration Date

October 31, 2018

Current Date / Time

December 13, 2025
5:33:57 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: JACKSON, TANISHA ANJANETTE

License/Registration Type: Dentist License

License Number: 47103 Primary Status: Current - Active

Address :
422 Orange St
REDLANDS CA 92374-3206
SAN BERNARDINO COUNTY

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