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Licensing details for: 4799

Name: RIVERBANK DENTAL PRACTICE, JOSEPH ANTYPAS, DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

3324 SANTA FE, STE B
RIVERBANK CA 95367
STANISLAUS county
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Issuance Date

March 5, 2004

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
1:43:21 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ANTYPAS, 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: ANTYPAS, JOSEPH

License/Registration Type: Dentist License

License Number: 40525 Primary Status: Current - Active

Address :
3324 SANTA FE, STE B
RIVERBANK CA 95367
STANISLAUS COUNTY

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