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Licensing details for: 170

Name: BATO, TRICIA DAVID

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

1129 S. GLENDORA AVE
WEST COVINA CA 91790
LOS ANGELES county
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Practice Location

770 MAGNOLIA AVE SUITE 2E
CORONA CA 92879
RIVERSIDE county
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Issuance Date

June 2, 2023

Expiration Date

May 31, 2027

Current Date / Time

June 7, 2025
2:42:37 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WESCOVE FAMILY DENTISTRY DENTAL OFFICE OF DR. KOUZ AND DR. BATO

License/Registration Type: Fictitious Name Permit

License Number: 18878 Primary Status: Current - Active

Address :
1129 S. GLENDORA BLVD
WEST COVINA CA 91790
LOS ANGELES COUNTY

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MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: BATO, TRICIA DAVID

License/Registration Type: Dentist License

License Number: 53695 Primary Status: Current - Active

Address :
770 Magnolia Ave
2E
CORONA CA 92879
RIVERSIDE COUNTY

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