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Licensing details for: 58955

Name: VEGTER, ROY J

License Type: Dentist

Primary Status: Current - Active

Address of Record

4276 54th Pl
suite d
SAN DIEGO CA 92115-6011
SAN DIEGO county
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Practice Location

4276 54th Pl
suite d
SAN DIEGO CA 92115-6011
SAN DIEGO county
Map

Issuance Date

October 21, 2009

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
4:8:44 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ALPHA DENTAL, OFFICE OF ROY J. VEGTER, A DENTAL CORPORAITON

License/Registration Type: Fictitious Name Permit

License Number: 11018 Primary Status: Expired

Address :
4276 54TH PLACE SUITE D
SAN DIEGO CA 92115
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: ALPHA DENTAL, OFFICE OF ROY J. VEGTER, A DENTAL CORPORAITON

License/Registration Type: Fictitious Name Permit

License Number: 11018 Primary Status: Expired

Address :
4276 54TH PLACE SUITE D
SAN DIEGO CA 92115
SAN DIEGO COUNTY

Map

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