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Licensing details for: 100484

Name: CHOI, DANIEL AARON

License Type: Dentist

Primary Status: Current - Inactive

Method of Application: Licensure by WREB

Address of Record

4212 N 16th St
PHOENIX AZ 85016-5319
MARICOPA county
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Issuance Date

July 19, 2016

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
4:7:44 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CORNERSTONE ENDODONTICS, DENTAL PRACTICE OF DANIEL CHOI, DDS

License/Registration Type: Fictitious Name Permit

License Number: 14331 Primary Status: Cancelled

Address :
130 AVENIDA CABRILLO STE B
SAN CLEMENTE CA 92672
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CORNERSTONE ENDODONTICS, DENTAL PRACTICE OF DANIEL A. CHOI, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 14719 Primary Status: Cancelled

Address :
130 AVENIDA CABRILLO STE B
SAN CLEMENTE CA 92672
ORANGE COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: CORNERSTONE ENDODONTICS, DENTAL PRACTICE OF DANIEL A. CHOI, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 14719 Primary Status: Cancelled

Address :
130 AVENIDA CABRILLO STE B
SAN CLEMENTE CA 92672
ORANGE COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: CORNERSTONE ENDODONTICS, DENTAL PRACTICE OF DANIEL CHOI, DDS

License/Registration Type: Fictitious Name Permit

License Number: 14331 Primary Status: Cancelled

Address :
130 AVENIDA CABRILLO STE B
SAN CLEMENTE CA 92672
ORANGE COUNTY

Map

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