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Licensing details for: 8298

Name: CHILDRENS DENTAL CENTERS, DENTAL GROUP OF N. FERNANDO MUNOZ, DDS,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Previous Names: CHILDRENS DENTAL CENTERS

Address of Record

14976 FOOTHILL BOULEVARD
STE. 100
FONTANA CA 92335
SAN BERNARDINO county
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Practice Location

14976 FOOTHILL BOULEVARD
STE. 100
FONTANA CA 92335
SAN BERNARDINO county
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Issuance Date

August 11, 2009

Expiration Date

August 31, 2011

Current Date / Time

June 7, 2025
1:58:48 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MUNOZ, NUMA FERNANDO

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: MUNOZ, NUMA FERNANDO

License/Registration Type: Dentist License

License Number: 46894 Primary Status: Cancelled

Address :
7835 Lakeside Blvd Apt 946
BOCA RATON FL 33434-6265
PALM BEACH COUNTY

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