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Licensing details for: 1069

Name: ECKSTEIN, JAMES RICHARD

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

306 WALNUT AVENUE
SUITE 26
SAN DIEGO CA 92103
SAN DIEGO county
Map

Practice Location

150 W Madison Ave
EL CAJON CA 92020-3404
SAN DIEGO county
Map

Issuance Date

July 1, 1996

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
4:2:53 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF DOCTORS ECKSTEIN, OLEKSY & GILE

License/Registration Type: Fictitious Name Permit

License Number: 14155 Primary Status: Cancelled

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

Map

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

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF

License/Registration Type: Fictitious Name Permit

License Number: 4801 Primary Status: Cancelled

Address :
306 WALNUT AVE, STE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF DOCTORS ECKSTEIN, OLEKSY & GILE

License/Registration Type: Fictitious Name Permit

License Number: 14154 Primary Status: Cancelled

Address :
306 WALNUT AVE STE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

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: 3495 Primary Status: Cancelled

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

Map

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: 3494 Primary Status: Cancelled

Address :
306 WALNUT AVENUE, STE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF

License/Registration Type: Fictitious Name Permit

License Number: 4786 Primary Status: Cancelled

Address :
150 W MADISON
EL CAJON CA 92020
SAN DIEGO COUNTY

Map

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: ECKSTEIN, JAMES RICHARD

License/Registration Type: Dentist License

License Number: 38273 Primary Status: Current - Active

Address :
306 WALNUT AVENUE
SUITE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY

Map

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