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Licensing details for: 6296

Name: CANYON SPRINGS DENTAL GROUP OF MORENO VALLEY, CHARLES F. RODGERS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2878 CAMPUS PKWY., STE. C-1
RIVERSIDE CA 92507
RIVERSIDE county
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Issuance Date

July 8, 2006

Expiration Date

August 31, 2007

Current Date / Time

October 30, 2025
9:43:39 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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