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Licensing details for: 1089

Name: CUMMINGS, DAVID RAYMOND

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Previous Names: CUMMINGS, DAVID R

Address of Record

26302 LA PAZ ROAD
SUITE 102
MISSION VIEJO CA 92691
ORANGE county
Map

Issuance Date

October 15, 1996

Expiration Date

July 31, 2026

Current Date / Time

June 7, 2025
7:25:59 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ORANGE COUNTY CENTERS FOR ORAL SURGERY AND DENTAL IMPLANTS CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP INC.

License/Registration Type: Fictitious Name Permit

License Number: 13021 Primary Status: Expired

Address :
1171 PUERTA DEL SOL, #D
SAN CLEMENTE CA 92673
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ORANGE COUNTY CENTERS FOR ORAL SURGERY AND DENTAL IMPLANTS CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP INC.

License/Registration Type: Fictitious Name Permit

License Number: 12962 Primary Status: Expired

Address :
26302 LA PAZ ROAD, #102
MISSION VIEJO CA 92691
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ORANGE COUNTY CENTERS FOR ORAL SURGERY AND DENTAL IMPLANTS CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP INC.

License/Registration Type: Fictitious Name Permit

License Number: 13020 Primary Status: Expired

Address :
360 SAN MIGUEL, #402
NEWPORT BEACH CA 92660
ORANGE COUNTY

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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: CUMMINGS, DAVID RAYMOND

License/Registration Type: Dentist License

License Number: 39142 Primary Status: Current - Active

Address :
26302 LA PAZ ROAD
SUITE 102
MISSION VIEJO CA 92691
ORANGE COUNTY

Map

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