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Licensing details for: 5537

Name: UPLAND DENTAL & ORTHODONTICS, IMPLANT DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

11328 KENYON WAY
RANCHO CUCAMONGA CA 91701
SAN BERNARDINO county
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Issuance Date

April 29, 2005

Expiration Date

March 31, 2009

Current Date / Time

June 6, 2025
10:4:17 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HUNG, WILLIAM YUEN-SIANG

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: HUNG, WILLIAM YUEN-SIANG

License/Registration Type: Dentist License

License Number: 34855 Primary Status: Current - Active

Address :
749 ALAMOSA DR
CLAREMONT CA 91711
LOS ANGELES COUNTY

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