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Licensing details for: 63889

Name: WARNER, MADELINE LEAH

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Licensure by Residency

Method of Application: Licensure by Residency

Address of Record

6977 Shoreline Dr
CARLSBAD CA 92011-3262
SAN DIEGO county
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Contract Location

6977 Shoreline Dr
CARLSBAD CA 92011-3262
SAN DIEGO county
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Practice Location

3638 Ocean Ranch Blvd
OCEANSIDE CA 92056-2669
SAN DIEGO county
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Issuance Date

August 13, 2014

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
9:16:39 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SURF SMILES FAMILY DENTISTRY, DENTAL PRACTICE OF DRS. MARK WARNER, MADELINE WARNER, CHARLES HOEG

License/Registration Type: Fictitious Name Permit

License Number: 14596 Primary Status: Current - Active

Address :
3638 OCEAN RANCH BLVD
OCEANSIDE CA 92056
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: SURF SMILES FAMILY DENTISTRY, DENTAL PRACTICE OF DRS. MARK WARNER, MADELINE WARNER, CHARLES HOEG

License/Registration Type: Fictitious Name Permit

License Number: 14596 Primary Status: Current - Active

Address :
3638 OCEAN RANCH BLVD
OCEANSIDE CA 92056
SAN DIEGO COUNTY

Map

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