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Licensing details for: 5670

Name: RIVERSIDE DENTAL OFFICE, COMPEAN AND MOWREY DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1485 UNIVERSITY AVENUE
RIVERSIDE CA 92507
RIVERSIDE county
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Issuance Date

July 15, 2005

Expiration Date

May 31, 2009

Current Date / Time

June 7, 2025
8:20:29 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MOWREY, BRIAN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COMPEAN, CARLOS GUILLERMO

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MOWREY, BRIAN LEROY

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COMPEON, CARLOS

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: COMPEAN, CARLOS GUILLERMO

License/Registration Type: Dentist License

License Number: 29127 Primary Status: Current - Active

Address :
10945South St. Ste. 200A
CERRITOS CA 90703
LOS ANGELES COUNTY

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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: MOWREY, BRIAN LEROY

License/Registration Type: Dentist License

License Number: 49152 Primary Status: Voluntary Surrendered

Address :
na
NA CA 9
RIVERSIDE COUNTY

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