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Licensing details for: 41350

Name: MATTSON, VIRGINIA PADUA

License Type: Dentist

Primary Status: Current - Active

Previous Names: BARAN, VIRGINIA PADUA

Address of Record

11717 Bernardo Plaza Ct
SUITE 100
SAN DIEGO CA 92128-2412
SAN DIEGO county
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Issuance Date

October 29, 1993

Expiration Date

February 28, 2027

Current Date / Time

June 7, 2025
8:17:39 AM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: MATTSON, VIRGINIA PADUA

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2740 Primary Status: Expired

Address :
11717 Bernardo Plaza Court
Suite 100
SAN DIEGO CA 92128
SAN DIEGO COUNTY

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