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Licensing details for: 8

Name: MACHADO, LESTER

License Type: Elective Facial Cosmetic Surgery

Primary Status: Expired Primary Status Definition

Expert Credentials: Category I Unlimited - OsteocartilaginousPrimary Status Definition

Address of Record

501 WASHINGTON
STE 710
SAN DIEGO CA 92103
SAN DIEGO county
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Active Status Location

501 WASHINGTON, SUITE 725
SAN DIEGO CA 92103
SAN DIEGO county
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Issuance Date

August 14, 2008

Expiration Date

July 31, 2023

Current Date / Time

June 7, 2025
9:22:57 AM

License Relationships

FCS to DDS

License/Registration Role: Elective Facial Cosmetic Surgery Permit

Related Party Role: Must hold an active Dental License

Name: MACHADO, LESTER

License/Registration Type: Dentist License

License Number: 29080 Primary Status: Expired

Address :
501 WASHINGTON AVE
STE 710
SAN DIEGO CA 92103
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTER FOR ORAL AND FACIAL SURGERY, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2139 Primary Status: Cancelled

Address :
FRANK PAVEL
150 WEST MADISON
EL CAJON CA 92020
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: MACHADO MAXILLOFACIAL SURGERY DENTAL PRACTICE LIMITED TO ORAL AND MAXILLOFACIAL SURGERY

License/Registration Type: Fictitious Name Permit

License Number: 14922 Primary Status: Expired

Address :
501 WASHINGTON STREET SUITE #710
SAN DIEGO CA 92103
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SAN DIEGO CENT-CORRECTIVE JAW & FACIAL SURG

License/Registration Type: Fictitious Name Permit

License Number: 901 Primary Status: Cancelled

Address :
FRANK PAVEL DDS ET AL
306 WALNUT STREET STE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: THE SAN DIEGO CENTER FOR ORAL & MAXILLOFACIAL SURGERY

License/Registration Type: Fictitious Name Permit

License Number: 3500 Primary Status: Cancelled

Address :
752 MEDICAL CENTER CT, STE 205
CHULA VISTA CA 91911
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2099 Primary Status: Cancelled

Address :
FRANK PAVEL, DDS., INC.
306 WALNUT, SUITE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY

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