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Licensing details for: 47653

Name: ORTIZ-LUIS, MARICELLE ROSE

License Type: Dentist

Primary Status: Current - Active

Previous Names: SANTOS, ROSE MARICELLE ORTIZ-LUIS, ROSE MARICELLE

Address of Record

2515 Pio Pico Dr Ste B
CARLSBAD CA 92008-1560
SAN DIEGO county
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Practice Location

2515 Pio Pico Dr Ste B
CARLSBAD CA 92008-1560
SAN DIEGO county
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39872 LOS ALAMOS RD, STE A-1
MURRIETA CA 92562
RIVERSIDE county
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Issuance Date

August 3, 2000

Expiration Date

July 31, 2025

Current Date / Time

June 7, 2025
3:24:33 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: ORTIZ-LUIS, MARICELLE ROSE

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2933 Primary Status: Current - Active

Address :
2515 Pio Pico Dr Ste B
CARLSBAD CA 92008-1560
SAN DIEGO COUNTY

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