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Licensing details for: 9366

Name: TEMECULA DENTAL PRACTICE AND ORTHODONTICS, LYNDA WATANABE DENTAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

29560 Rancho California Rd
STE. 100
TEMECULA CA 92591-5294
RIVERSIDE county
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Practice Location

29560 RANCHO CALIFORNIA ROAD
STE. 100
TEMECULA CA 92591
RIVERSIDE county
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Issuance Date

May 24, 2011

Expiration Date

September 30, 2018

Current Date / Time

June 6, 2025
2:4:22 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: WATANABE, LYNDA CAROL

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: WATANABE, LYNDA CAROL

License/Registration Type: Dentist License

License Number: 40116 Primary Status: Current - Active

Address :
8715 Trautwein Rd
RIVERSIDE CA 92508-9474
RIVERSIDE COUNTY

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