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Licensing details for: 54777

Name: URREA, JORGE ALBERTO

License Type: Dentist

Primary Status: Current - Active

Address of Record

775 Shadowridge Dr
VISTA CA 92083-7997
SAN DIEGO county
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Practice Location

775 Shadowridge Dr
VISTA CA 92083-7997
SAN DIEGO county
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Issuance Date

August 11, 2006

Expiration Date

November 30, 2025

Current Date / Time

June 7, 2025
2:39:23 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ALTA VISTA DENTAL, DENTAL OFFICE OF JORGE A. URREA, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7728 Primary Status: Expired

Address :
100 N RANCHO SANTA FE ROAD
STE. 123
SAN MARCOS CA 92069
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ALTA VISTA DENTAL, DENTAL OFFICE OF JORGE A. URREA, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 18409 Primary Status: Current - Active

Address :
775 SHADOWRIDGE DR
VISTA CA 92083
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: ALTA VISTA DENTAL, DENTAL OFFICE OF JORGE A. URREA, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 18409 Primary Status: Current - Active

Address :
775 SHADOWRIDGE DR
VISTA CA 92083
SAN DIEGO COUNTY

Map

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: ALTA VISTA DENTAL, DENTAL OFFICE OF JORGE A. URREA, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 7728 Primary Status: Expired

Address :
100 N RANCHO SANTA FE ROAD
STE. 123
SAN MARCOS CA 92069
SAN DIEGO COUNTY

Map

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