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Licensing details for: 5495

Name: MORENO VALLEY ENDODONTICS, DENTAL PRACTICE,

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Partnership

Address of Record

24099 POSTAL AVE, STE 101
MORENO VALLEY CA 92553
RIVERSIDE county
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Issuance Date

April 8, 2005

Expiration Date

January 31, 2027

Current Date / Time

December 13, 2025
1:47:18 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: DIAZ, LYNN

License/Registration Type: Dentist License

License Number: 42728 Primary Status: Current - Active

Address :
24099 Postal Ave Ste 101
MORENO VALLEY CA 92553-7709
RIVERSIDE COUNTY

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