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Licensing details for: 5757

Name: MAIN STREET DENTAL GROUP, C. F. RODGERS, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

131 WEST ONTARIO AVE, STE 102
CORONA CA 92882
RIVERSIDE county
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Issuance Date

September 16, 2005

Expiration Date

August 31, 2017

Current Date / Time

October 30, 2025
9:43:2 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: RODGERS, CHARLES FREDERICK

License/Registration Type: Dentist License

License Number: 35324 Primary Status: Current - Active

Address :
131 W Ontario Ave
Suite 103
CORONA CA 92882-5274
RIVERSIDE COUNTY

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