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Licensing details for: 5901

Name: GROVE DENTAL GROUP, LYNDA WATANABE PROF. DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

8735 Trautwein Rd
RIVERSIDE CA 92508-9474
RIVERSIDE county
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Issuance Date

December 27, 2005

Expiration Date

September 30, 2018

Current Date / Time

December 13, 2025
1:44:35 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: WATANABE, LYNDA CAROL

License/Registration Type: Dentist License

License Number: 40116 Primary Status: Current - Active

Address :
8715 Trautwein Rd
RIVERSIDE CA 92508-9474
RIVERSIDE COUNTY

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