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Licensing details for: 56785

Name: DELA ROSA, ALFREDO ACERO

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: DELA ROSA, ALFREDO A

Address of Record

6063 Mission St
DALY CITY CA 94014-2007
SAN MATEO county
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Issuance Date

January 29, 2008

Expiration Date

August 31, 2025

Current Date / Time

June 7, 2025
8:24:39 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: A.R. ORAL SURGERY AND IMPLANT CENTER, DENTAL OFFICE OF ALFREDO A

License/Registration Type: Fictitious Name Permit

License Number: 11447 Primary Status: Cancelled

Address :
6063 MISSION STREET
DALY CITY CA 94014
SAN MATEO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ARCHSTONE ORAL AND FACIAL SURGERY, DENTAL OFFICE OF ALFREDO A. DE

License/Registration Type: Fictitious Name Permit

License Number: 12235 Primary Status: Current - Active

Address :
6063 Mission St
DALY CITY CA 94014-2007
SAN MATEO 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: ARCHSTONE ORAL AND FACIAL SURGERY, DENTAL OFFICE OF ALFREDO A. DE

License/Registration Type: Fictitious Name Permit

License Number: 12235 Primary Status: Current - Active

Address :
6063 Mission St
DALY CITY CA 94014-2007
SAN MATEO 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: A.R. ORAL SURGERY AND IMPLANT CENTER, DENTAL OFFICE OF ALFREDO A

License/Registration Type: Fictitious Name Permit

License Number: 11447 Primary Status: Cancelled

Address :
6063 MISSION STREET
DALY CITY CA 94014
SAN MATEO COUNTY

Map

GA to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: General Anesthesia Permit

Name: DELA ROSA, ALFREDO ACERO

License/Registration Type: General Anesthesia Permit

License Number: 1620 Primary Status: Current - Active

Address :
6063 Mission St
DALY CITY CA 94014-2007
SAN MATEO COUNTY

Map

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