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Licensing details for: 49158

Name: NATHANSON, ELVIE CERVAS

License Type: Dentist

Primary Status: Current - Active

Previous Names: NATHANSON, ELVIE C

Address of Record

340 4th Ave Ste 16
CHULA VISTA CA 91910-3896
SAN DIEGO county
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Practice Location

340 4th Avenue
16
CHULA VISTA CA 91910
SAN DIEGO county
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Issuance Date

October 29, 2001

Expiration Date

April 30, 2026

Current Date / Time

June 7, 2025
3:11:14 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GENTLE CARE FAMILY DENTISTRY, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 5825 Primary Status: Current - Active

Address :
340 4TH AVE, STE 16
CHULA VISTA CA 91910
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: GENTLE CARE FAMILY DENTISTRY, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 5825 Primary Status: Current - Active

Address :
340 4TH AVE, STE 16
CHULA VISTA CA 91910
SAN DIEGO COUNTY

Map

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