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Licensing details for: 7101

Name: WHITE LANE FAMILY DENTISTRY, DENTAL OFFICE OF DR. LUCIANE QUEIROZ

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

2160 WHITE LANE
BAKERSFIELD CA 93304
KERN county
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Issuance Date

September 14, 2007

Expiration Date

June 30, 2025

Current Date / Time

June 6, 2025
9:50:51 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: QUEIROZ, LUCIANE ITO DE

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: QUEIROZ, LUCIANE ITO DE

License/Registration Type: Dentist License

License Number: 52674 Primary Status: Current - Active

Address :
2160 White Ln
BAKERSFIELD CA 93304-6915
KERN COUNTY

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