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Licensing details for: 45034

Name: TING, IRENE MALABANAN

License Type: Dentist

Primary Status: Current - Active

Previous Names: MALABANAN-TING, IRENE

Address of Record

2452 FENTON ST
#204
CHULA VISTA CA 91914
SAN DIEGO county
Map

Issuance Date

October 28, 1997

Expiration Date

April 30, 2028

Current Date / Time

June 5, 2026
6:52:43 PM

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: TING, IRENE MALABANAN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2294 Primary Status: Cancelled

Address :
2452 FENTON ST #204
CHULA VISTA CA 91914
SAN DIEGO COUNTY

Map

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