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Licensing details for: 7872

Name: VISALIA FAMILY DENTISTRY, DENTAL OFFICE OF RALPH C. ANTOLIN DENTA

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1644 W CALDWELL AVE #A
VISALIA CA 93277
TULARE county
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Practice Location

1644 W CALDWELL AVE #A
VISALIA CA 93277
TULARE county
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Issuance Date

December 9, 2008

Expiration Date

September 30, 2027

Current Date / Time

December 15, 2025
9:0:56 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: ANTOLIN, RALPH CALUAG

License/Registration Type: Dentist License

License Number: 46017 Primary Status: Current - Active

Address :
4216 W HAROLD COURT
VISALIA CA 93291
TULARE COUNTY

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