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Licensing details for: 9753

Name: PARKWAY DENTAL GROUP, LOPEZ AND STROMBERG DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

20258 US Highway 18 Ste 400
APPLE VALLEY CA 92307-6197
SAN BERNARDINO county
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Practice Location

20258 US HIGHWAY 18, STE. 400
APPLE VALLEY CA 92307
SAN BERNARDINO county
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Issuance Date

February 2, 2012

Expiration Date

October 31, 2018

Current Date / Time

June 6, 2025
1:59:45 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: STROMBERG, LOUIS ZANE

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: STROMBERG, LOUIS ZANE

License/Registration Type: Dentist License

License Number: 30879 Primary Status: Expired

Address :
16868 MAIN STREET
HESPERIA CA 92345
SAN BERNARDINO COUNTY

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