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Licensing details for: 65140

Name: AL-KHOURI, CHRISTINE NOEL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1520 10th Ave
SAN DIEGO CA 92101-2812
SAN DIEGO county
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Issuance Date

September 16, 2015

Expiration Date

August 31, 2026

Current Date / Time

April 4, 2026
3:14:38 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: Vista Modern Dentistry, Dental Group of Vista Modern Dentistry, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20352 Primary Status: Current - Active

Address :
1350 E. Vista Way, Suite 10
VISTA CA 92084

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