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Licensing details for: 101090

Name: HANNA, MICHAEL GEORGE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

235 Town Center Pkwy
D
SANTEE CA 92071-5811
SAN DIEGO county
Map

Issuance Date

December 14, 2016

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
9:27:44 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SANTEE DENTAL GROUP PRACTICE OF MICHAEL HANNA DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 15670 Primary Status: Current - Active

Address :
235 TOWN CENTER PKWY SUITE D
SANTEE CA 92071
SAN DIEGO 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: SANTEE DENTAL GROUP PRACTICE OF MICHAEL HANNA DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 15670 Primary Status: Current - Active

Address :
235 TOWN CENTER PKWY SUITE D
SANTEE CA 92071
SAN DIEGO COUNTY

Map

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