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Licensing details for: 63809

Name: MORENO, HELEN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

4711 Monroe Ave
SAN DIEGO CA 92115-3202
SAN DIEGO county
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Practice Location

3444 Kearny Villa Rd
Suite 406
SAN DIEGO CA 92123-1959
SAN DIEGO county
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Issuance Date

August 1, 2014

Expiration Date

November 30, 2025

Current Date / Time

June 22, 2025
1:45:51 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SERRA MESA SMILES DENTAL OFFICE OF HELEN MORENO

License/Registration Type: Fictitious Name Permit

License Number: 17773 Primary Status: Current - Active

Address :
3444 KEARNY VILLA ROAD, SUITE 406
SAN DIEGO CA 92123
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: SERRA MESA SMILES DENTAL OFFICE OF HELEN MORENO

License/Registration Type: Fictitious Name Permit

License Number: 17773 Primary Status: Current - Active

Address :
3444 KEARNY VILLA ROAD, SUITE 406
SAN DIEGO CA 92123
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: MORENO, HELEN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3256 Primary Status: Cancelled

Address :
4711 Monroe Ave
SAN DIEGO CA 92115-3202
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: MORENO, HELEN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 4199 Primary Status: Current - Active

Address :
3444 Kearny Villa Rd
Suite 406
SAN DIEGO CA 92123-1959
SAN DIEGO COUNTY

Map

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