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Licensing details for: 23334

Name: KRILL, CHARLES DAVID

License Type: Dentist

Primary Status: Expired Primary Status Definition

Secondary Status: Radiation Safety Certification issued by the Board

Address of Record

1920 Creston Rd Ste B
PASO ROBLES CA 93446-4462
SAN LUIS OBISPO county
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Issuance Date

January 1, 1973

Expiration Date

January 31, 2024

Current Date / Time

June 6, 2025
10:53:22 PM

Public Record Actions

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: C DAVID KRILL, DDS

License/Registration Type: Additional Office Permit

License Number: 7616 Primary Status: Cancelled

Address :
1920-B CRESTON ROAD
PASO ROBLES CA 93446
SAN LUIS OBISPO COUNTY

Map

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: CHARLES D KRILL, DDS, INC

License/Registration Type: Additional Office Permit

License Number: 7650 Primary Status: Cancelled

Address :
1920 CRESTON ROAD
PASO ROBLES CA 93446
SAN LUIS OBISPO COUNTY

Map

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: CHARLES D. KRILL,DDS

License/Registration Type: Additional Office Permit

License Number: 5759 Primary Status: Cancelled

Address :
21 SANTA ROSA
SUITE 50
SAN LUIS OBISPO CA 93401
SAN LUIS OBISPO COUNTY

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