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Licensing details for: 1343

Name: HUMMELDORF, KURT GERARD

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

2655 CAMINO DEL RIO NORTH
SAN DIEGO CA 92108
SAN DIEGO county
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Practice Location

1315 Ynez Place
CORONADO CA 92118
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Issuance Date

July 27, 2005

Expiration Date

March 31, 2027

Current Date / Time

June 6, 2025
9:48:56 PM

License Relationships

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: HUMMELDORF, KURT GERARD

License/Registration Type: Dentist License

License Number: 53339 Primary Status: Current - Active

Address :
1315 Ynez Place
1315 Ynez Place
CORONADO CA 92118

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