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Licensing details for: 1038

Name: KACHELE, WILLIAM STEPHEN JR

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Secondary Status: Licensure by Residency

Previous Names: KACHELE, WILLIAM STEPHEN

Address of Record

751 RANCHEROS DRIVE #3
SAN MARCOS CA 92069
SAN DIEGO county
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Issuance Date

March 2, 2007

Expiration Date

June 30, 2010

Current Date / Time

June 6, 2025
11:21:8 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: COAST DENTAL ASSOC KACHELE STYGAR

License/Registration Type: Fictitious Name Permit

License Number: 535 Primary Status: Cancelled

Address :
1582 SAN MARCOS BLVD STE 105
SAN MARCOS CA 92069
SAN DIEGO COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: KACHELE, WILLIAM STEPHEN JR

License/Registration Type: Dentist License

License Number: 34858 Primary Status: Current - Active

Address :
751 RANCHEROS DRIVE #3
SAN MARCOS CA 92069
SAN DIEGO COUNTY

Map

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