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Licensing details for: 62328

Name: JIZE, NICHOLAS RAMZEY

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2775 Via De La Valle
Suite 103
DEL MAR CA 92014-1919
SAN DIEGO county
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Practice Location

2775 Via De La Valle
Suite 103
DEL MAR CA 92014-1919
SAN DIEGO county
Map

Issuance Date

April 26, 2013

Expiration Date

September 30, 2026

Current Date / Time

December 13, 2025
7:54:7 AM

License Relationships

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: FIRST TOOTH PEDIATRIC DENTAL PRACTICE OF DR. NICHOLAS JIZE

License/Registration Type: Fictitious Name Permit

License Number: 12768 Primary Status: Current - Active

Address :
2775 VIA DE LA VALLE, SUITE 103
DEL MAR CA 92014
SAN DIEGO COUNTY

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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: JIZE, NICHOLAS RAMZEY

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2981 Primary Status: Cancelled

Address :
2775 Via De La Valle
Suite 103
DEL MAR CA 92014-1919
SAN DIEGO COUNTY

Map

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