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Licensing details for: 4432

Name: APPLE VALLEY DENTAL OFFICE, COX DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

18245 HIGHWAY 18
APPLE VALLEY CA 92307
SAN BERNARDINO county
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Issuance Date

August 4, 2003

Expiration Date

August 31, 2005

Current Date / Time

June 6, 2025
1:50:7 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COX, WILLIAM JOSEPH

Address Not Disclosed

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: COX, WILLIAM JOSEPH

License/Registration Type: Dentist License

License Number: 26160 Primary Status: Current - Active

Address :
4950 BARRANCA PKWY #105
IRVINE CA 92604
ORANGE COUNTY

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