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Licensing details for: 101727

Name: PHILLIPS, JOSEPH DOUGLAS

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

10737 Camino Ruiz Ste 210
SAN DIEGO CA 92126-2363
SAN DIEGO county
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Practice Location

10737 Camino Ruiz Ste 210
SAN DIEGO CA 92126-2363
SAN DIEGO county
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761 Garden View Ct Ste 101
ENCINITAS CA 92024-2400
SAN DIEGO county
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Issuance Date

July 28, 2017

Expiration Date

November 30, 2025

Current Date / Time

June 7, 2025
7:50:6 AM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: JOSEPH PHILLIPS, DDS

License/Registration Type: Additional Office Permit

License Number: 81461 Primary Status: Expired

Address :
761 GARDEN VIEW CT., #101
ENCINITAS CA 92024
SAN DIEGO COUNTY

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