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Licensing details for: 4

Name: MENDOZA, CHRISTIAN JESUS

License Type: Pediatric Minimal Sedation Permit

Primary Status: Current - Active

Address of Record

6124 Victoria Way
Unit 109
EASTVALE CA 92880-8883
RIVERSIDE county
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Practice Location

1205 Renaissance Pkwy
unit 240
RIALTO CA 92376-2417
SAN BERNARDINO county
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35952 Winchester Rd
#2
WINCHESTER CA 92596-7537
RIVERSIDE county
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Issuance Date

October 6, 2022

Expiration Date

December 31, 2027

Current Date / Time

December 13, 2025
7:56:15 AM

License Relationships

PMS to DDS or OMS or SP

License/Registration Role: Pediatric Minimal Sedation Permit

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

Name: MENDOZA, CHRISTIAN JESUS

License/Registration Type: Dentist License

License Number: 107354 Primary Status: Current - Active

Address :
6124 Victoria Way
Unit 109
EASTVALE CA 92880-8883
RIVERSIDE COUNTY

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