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Licensing details for: 1233

Name: VALADEZ, JAVIER

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

618 SIPES CIRCLE
CHULA VISTA CA 91911
SAN DIEGO county
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Practice Location

2650 EL CAMINO DEL N #102
SAN DIEGO CA 92108
SAN DIEGO county
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585 TELEGRAPH CANYON RD
CHULA VISTA CA 91910
SAN DIEGO county
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8881 FLETCHER PKWY, STE 220
LA MESA CA 91942
SAN DIEGO county
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Issuance Date

April 21, 2020

Expiration Date

July 31, 2024

Current Date / Time

December 15, 2025
9:6:15 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: VALADEZ, JAVIER

License/Registration Type: Dentist License

License Number: 51666 Primary Status: Current - Active

Address :
2650 Camino Del Rio N
102
SAN DIEGO CA 92108-1621

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