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Licensing details for: 5884

Name: PARK WEST DENTAL GROUP, LOUIS Z STROMBERG DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

10928 TRINITY PKWY
STOCKTON CA 95219
SAN JOAQUIN county
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Issuance Date

December 26, 2005

Expiration Date

May 31, 2008

Current Date / Time

June 6, 2025
2:11:2 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: STROMBERG, LOUIS ZANE

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: STROMBERG, LOUIS ZANE

License/Registration Type: Dentist License

License Number: 30879 Primary Status: Expired

Address :
16868 MAIN STREET
HESPERIA CA 92345
SAN BERNARDINO COUNTY

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