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Licensing details for: 9724

Name: YORBA LINDA DENTAL GROUP, RODGERS AND DANG DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

18432 YORBA LINDA BOULEVARD, STE. D
YORBA LINDA CA 92888
ORANGE county
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Practice Location

18432 YORBA LINDA BOULEVARD, STE. D
YORBA LINDA CA 92888
ORANGE county
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Issuance Date

January 18, 2012

Expiration Date

August 31, 2017

Current Date / Time

June 6, 2025
1:54:23 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: REAGAN, DARIN SCOTT

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: REAGAN, DARIN SCOTT

License/Registration Type: Dentist License

License Number: 34407 Primary Status: Current - Active

Address :
943 AVENIDA PICO, STE. A
SAN CLEMENTE CA 92673
ORANGE COUNTY

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