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Licensing details for: 104504

Name: CHILMERAN, SARAH MUNA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Credential

Address of Record

575 Camino De La Reina
Ste 102
SAN DIEGO CA 92108-3386
SAN DIEGO county
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Issuance Date

October 25, 2019

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
11:19:2 PM

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: CHILMERAN DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81576 Primary Status: Current - Active

Address :
575 CAMINO DE LA REINA, SUITE 100
SAN DIEGO CA 92108
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DENTISTS OF MISSION VALLEY DENTAL GROUP, CHILMERAN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18030 Primary Status: Current - Active

Address :
575 CAMINO DE LA REINA, SUITE 100
SAN DIEGO CA 92108
SAN DIEGO 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: DENTISTS OF MISSION VALLEY DENTAL GROUP, CHILMERAN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18030 Primary Status: Current - Active

Address :
575 CAMINO DE LA REINA, SUITE 100
SAN DIEGO CA 92108
SAN DIEGO COUNTY

Map

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