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Licensing details for: 107162

Name: ELIAS, ARTURO KEVIN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1243 Silver Hawk Way
CHULA VISTA CA 91915-1669
SAN DIEGO county
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Issuance Date

December 3, 2021

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
3:24:19 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: ELIAS DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81393 Primary Status: Current - Active

Address :
57 NORTH BROADWAY
CHULA VISTA CA 91910
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SOUTH BAY MODERN DENTISTRY DENTAL GROUP, ELIAS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17727 Primary Status: Current - Active

Address :
57 NORTH BROADWAY
CHULA VISTA CA 91910
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: SOUTH BAY MODERN DENTISTRY DENTAL GROUP, ELIAS DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17727 Primary Status: Current - Active

Address :
57 NORTH BROADWAY
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

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