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Licensing details for: 7804

Name: GATEWAY DENTAL GROUP OF RIVERSIDE, BRYAN K. WATANABE, A PROFESSIO

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

10286 INDIANA AVENUE
RIVERSIDE CA 92503
RIVERSIDE county
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Issuance Date

November 12, 2008

Expiration Date

December 31, 2009

Current Date / Time

December 13, 2025
7:53:57 AM

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: DARMSTADT, STEVEN DAVID

License/Registration Type: Dentist License

License Number: 28919 Primary Status: Current - Active

Address :
1751 W ROMNEYA DR STE C
ANAHEIM CA 92801
ORANGE COUNTY

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