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Licensing details for: 59691

Name: NAZARENO, JANICE CLAIRE CANUEL

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Licensure by Residency

Address of Record

5550 CARMEL MOUNTAIN ROAD #101
SAN DIEGO CA 92130
SAN DIEGO county
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Issuance Date

August 16, 2010

Expiration Date

October 31, 2026

Current Date / Time

June 7, 2025
3:3:22 AM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: NAZARENO AND NOSTI DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80394 Primary Status: Current - Active

Address :
5550 CARMEL MOUNTAIN ROAD, SUITE 101
SAN DIEGO CA 92130
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CARMEL VALLEY DENTIST OFFICE DENTAL GROUP NAZARENO AND NOSTI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15496 Primary Status: Current - Active

Address :
5550 CARMEL MOUNTAIN ROAD, SUITE 101
SAN DIEGO CA 92130
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: CARMEL VALLEY DENTIST OFFICE DENTAL GROUP NAZARENO AND NOSTI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15496 Primary Status: Current - Active

Address :
5550 CARMEL MOUNTAIN ROAD, SUITE 101
SAN DIEGO CA 92130
SAN DIEGO COUNTY

Map

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