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Licensing details for: 856

Name: LA CADENA DENTAL OFFICE, DR JUSUF D DHARMAWAN INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

405 N LA CADENA
COLTON CA 92324
SAN BERNARDINO county
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Issuance Date

November 13, 1992

Expiration Date

September 30, 2004

Current Date / Time

June 3, 2026
9:31:50 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: DHARMAWAN, JEFFREY

License/Registration Type: Dentist License

License Number: 33276 Primary Status: Current - Active

Address :
PO Box 622
COLTON CA 92324-0622
SAN BERNARDINO COUNTY

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