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Licensing details for: 45209

Name: ULLOA, OMAR DANIEL

License Type: Dentist

Primary Status: Current - Active

Address of Record

3448 MISSION ST.
SAN FRANCISCO CA 94110
SAN FRANCISCO county
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Issuance Date

April 28, 1998

Expiration Date

November 30, 2025

Current Date / Time

June 7, 2025
9:34:47 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: UDC DENTAL GROUP, PRACTICE OF ULLOA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 10816 Primary Status: Cancelled

Address :
2480 MISSION STREET SUITE 105
SAN FRANCISCO CA 94110
SAN FRANCISCO 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: UDC DENTAL GROUP, PRACTICE OF ULLOA DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 10816 Primary Status: Cancelled

Address :
2480 MISSION STREET SUITE 105
SAN FRANCISCO CA 94110
SAN FRANCISCO COUNTY

Map

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