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Licensing details for: 56944

Name: WARNER, DOUGLAS DEVON

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1443 ENCINITAS BLVD
ENCINITAS CA 92024
SAN DIEGO county
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Issuance Date

April 24, 2008

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
3:57:40 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WARNER PEDIATRIC DENTAL DENTAL OFFICE OF DR. DOUGLAS WARNER

License/Registration Type: Fictitious Name Permit

License Number: 17492 Primary Status: Current - Active

Address :
950 BOARDWALK STE 102
SAN MARCOS CA 92078
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: WARNER PEDIATRIC DENTAL DENTAL OFFICE OF DR. DOUGLAS WARNER

License/Registration Type: Fictitious Name Permit

License Number: 17492 Primary Status: Current - Active

Address :
950 BOARDWALK STE 102
SAN MARCOS CA 92078
SAN DIEGO COUNTY

Map

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: WARNER, DOUGLAS DEVON

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2626 Primary Status: Cancelled

Address :
1443 ENCINITAS BLVD
ENCINITAS CA 92024
SAN DIEGO COUNTY

Map

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