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Licensing details for: 59109

Name: DELGADO, LUISINIA ALICIA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: DELGADO GARCES, LUISINIA ALICIA

Address of Record

13215 FAIRFIELD ARBOR DR.
HOUSTON TX 77059
HARRIS county
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Issuance Date

January 21, 2010

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
11:1:39 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: 911 DENTIST, LUISINIA A. DELGADO DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 10414 Primary Status: Cancelled

Address :
825 W. BEECH STREET, UNIT 305
SAN DIEGO CA 92101
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: 911 DENTIST, LUISINIA A. DELGADO DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 11336 Primary Status: Cancelled

Address :
825 W BEECH STREET
UNIT 305
SAN DIEGO CA 92101
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: 911 DENTIST, LUISINIA A. DELGADO DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 11336 Primary Status: Cancelled

Address :
825 W BEECH STREET
UNIT 305
SAN DIEGO CA 92101
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: 911 DENTIST, LUISINIA A. DELGADO DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 10414 Primary Status: Cancelled

Address :
825 W. BEECH STREET, UNIT 305
SAN DIEGO CA 92101
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: DELGADO, LUISINIA ALICIA

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3796 Primary Status: Cancelled

Address :
9118 Kapri Ln
HOUSTON TX 77025-4202
HARRIS COUNTY

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PMS 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: Pediatric Minimal Sedation Permit

Name: DELGADO, LUISINIA ALICIA

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 325 Primary Status: Current - Active

Address :
13215 Fairfield Arbor Dr
HOUSTON TX 77059-1505
HARRIS COUNTY

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