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Licensing details for: 21318

Name: JONES, DARRYL EDMOND

License Type: Dentist

Primary Status: Cancelled

Secondary Status: Radiation Safety Certification issued by the Board

Address of Record

3156 CASA BLANCA COURT
BONITA CA 91902
SAN DIEGO county
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Issuance Date

January 1, 1970

Expiration Date

May 31, 2011

Current Date / Time

June 7, 2025
2:41:53 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CITY DENTAL CENTER

License/Registration Type: Fictitious Name Permit

License Number: 977 Primary Status: Cancelled

Address :
DENTAL PRACTICE OF DR TAUB
936 HIGHLAND AVENUE
NATIONAL CITY CA 91950
SAN DIEGO 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: CITY DENTAL CENTER

License/Registration Type: Fictitious Name Permit

License Number: 977 Primary Status: Cancelled

Address :
DENTAL PRACTICE OF DR TAUB
936 HIGHLAND AVENUE
NATIONAL CITY CA 91950
SAN DIEGO COUNTY

Map

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