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Licensing details for: 105384

Name: HEDO, HADEEL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

8657 Villa La Jolla Dr
Suite 211
LA JOLLA CA 92037-2356
SAN DIEGO county
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Issuance Date

August 26, 2020

Expiration Date

June 30, 2026

Current Date / Time

April 4, 2026
5:54:00 AM

License Relationships

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: La Jolla Village Smiles Dentistry, Dental Group of La Jolla Village Smiles Dentistry, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20463 Primary Status: Current - Active

Address :
8657 Villa La Jolla Dr, Ste 211
LA JOLLA CA 92037

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