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Licensing details for: 101309

Name: MALAN, BRANDON BLAKE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Residency

Address of Record

398 Alder St
ARROYO GRANDE CA 93420-3820
SAN LUIS OBISPO county
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Issuance Date

May 1, 2017

Expiration Date

December 31, 2025

Current Date / Time

June 7, 2025
3:9:46 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: EXPLORE ORTHODONTICS DENTAL PRACTICE OF BRANDON MALAN DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 18713 Primary Status: Current - Active

Address :
1505 SHEPARD DR SUITE #101
SANTA MARIA CA 93454-7020
SANTA BARBARA 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: EXPLORE ORTHODONTICS DENTAL PRACTICE OF BRANDON MALAN DDS INC

License/Registration Type: Fictitious Name Permit

License Number: 18713 Primary Status: Current - Active

Address :
1505 SHEPARD DR SUITE #101
SANTA MARIA CA 93454-7020
SANTA BARBARA COUNTY

Map

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