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Licensing details for: 9766

Name: DR. MCCLURG'S SMILE CENTER, AN ORTHODONTIC DENTAL OFFICE, CHRISTI

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: DR. MCCLURG'S SMILE CENTER

Address of Record

1212 12TH STREET
MODESTO CA 95354
STANISLAUS county
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Practice Location

1212 12TH STREET
MODESTO CA 95354
STANISLAUS county
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Issuance Date

February 9, 2012

Expiration Date

January 31, 2015

Current Date / Time

June 22, 2025
12:20:41 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HOYBJERG, CHRISTIAN JAMES

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: HOYBJERG, CHRISTIAN JAMES

License/Registration Type: Dentist License

License Number: 56780 Primary Status: Current - Active

Address :
1410 Elmores Way
EL DORADO HILLS CA 95762-4186
EL DORADO COUNTY

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