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Licensing details for: 39969

Name: BERRY, GLADYS LUISA

License Type: Dentist

Primary Status: Current - Active

Previous Names: JAFFARI, GLADYS LUISA

Address of Record

1320 Monument Trail Dr
CHULA VISTA CA 91915-1584
SAN DIEGO county
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Issuance Date

April 30, 1992

Expiration Date

January 31, 2028

Current Date / Time

May 29, 2026
10:14:12 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: G L BERRY, DDS, A DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 9272 Primary Status: Cancelled

Address :
5527 CLAIREMONT MESA BLVD.
SAN DIEGO CA 92117
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: NEIGHBORHOOD FAMILY DENTAL PRACTICE OF G. L. BERRY, DDS, A DENTAL

License/Registration Type: Fictitious Name Permit

License Number: 6763 Primary Status: Cancelled

Address :
5527 CLAIREMONT MESA BLVD.
SAN DIEGO CA 92117
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: NEIGHBORHOOD FAMILY DENTAL PRACTICE OF G L BERRY, DDS,

License/Registration Type: Fictitious Name Permit

License Number: 5418 Primary Status: Cancelled

Address :
4655 CASS STREET, STE 100
SAN DIEGO CA 92109
SAN DIEGO COUNTY

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