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Licensing details for: 1427

Name: SONG, DENNIS

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

3109 Geary Blvd
SAN FRANCISCO CA 94118-3316
SAN FRANCISCO county
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Issuance Date

August 29, 2007

Expiration Date

August 31, 2025

Current Date / Time

June 6, 2025
1:38:0 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SONG DENTAL IMPLANT AND ORAL SURGERY SONG DENTAL PRACTICE, INC.

License/Registration Type: Fictitious Name Permit

License Number: 13188 Primary Status: Cancelled

Address :
2001 UNION STREET, SUITE 280
SAN FRANCISCO CA 94123
SAN FRANCISCO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DENTAL IMPLANT AND ORAL SURGERY OF SAN FRANCISCO SONG DENTAL PRACTICE, INC.

License/Registration Type: Fictitious Name Permit

License Number: 13423 Primary Status: Current - Active

Address :
2001 Union St Ste 280
SAN FRANCISCO CA 94123-4107
SAN FRANCISCO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SONG ORAL SURGERY, DENTAL PRACTICE OF SONG DENTAL GROUP, INC

License/Registration Type: Fictitious Name Permit

License Number: 12287 Primary Status: Current - Active

Address :
3109 GEARY BLVD
SAN FRANCISCO CA 94118
SAN FRANCISCO 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: SONG, DENNIS

License/Registration Type: Dentist License

License Number: 47664 Primary Status: Current - Active

Address :
3109 Geary Blvd
SAN FRANCISCO CA 94118-3316
SAN FRANCISCO COUNTY

Map

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