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Licensing details for: 45454

Name: DANIELS, SEAN

License Type: Dentist

Primary Status: Current - Active

Previous Names: DOUANGPANYA, SENG

Address of Record

9750 MIRAMAR ROAD
SUITE 375
SAN DIEGO CA 92126
SAN DIEGO county
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Practice Location

960 W SAN MARCOS BLVD #110
SAN MARCOS CA 92078
SAN DIEGO county
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Issuance Date

August 3, 1998

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
8:14:14 PM

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: SEAN DANIELS, DDS, A PROFESSIONAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80317 Primary Status: Expired

Address :
960 W. SAN MARCOS BLVD #110
SAN MARCOS CA 92078
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SD ENDODONTICS, SEAN DANIELS, DDS, DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 4980 Primary Status: Cancelled

Address :
10175 RANCHO CARMEL DR
STE 126
SAN DIEGO CA 92128
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: SD ENDODONTICS, SEAN DANIELS, DDS, DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 4980 Primary Status: Cancelled

Address :
10175 RANCHO CARMEL DR
STE 126
SAN DIEGO CA 92128
SAN DIEGO COUNTY

Map

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