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Licensing details for: 1369

Name: NORDQUIST, WILLIAM DEAN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Previous Names: NORDQUIST, WILLIAM D

Address of Record

1901 4TH AVE
SAN DIEGO CA 92101
SAN DIEGO county
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Issuance Date

January 11, 2008

Expiration Date

April 30, 2014

Current Date / Time

June 6, 2025
11:31:16 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FLETCHER PARKWAY FAMILY DENTAL GROUP, NORDQUIST & NICHOLSON PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13697 Primary Status: Cancelled

Address :
9717 MISSION GORGE RD
SANTEE CA 92071
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: IMPLANT DENTISTRY OF SAN DIEGO

License/Registration Type: Fictitious Name Permit

License Number: 844 Primary Status: Cancelled

Address :
WILLIAM NORDQUIST DMD INC. DENTAL PRACT.
2304 6TH AVENUE
SAN DIEGO CA 92101
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: NORDQUIST, WILLIAM DEAN

License/Registration Type: Dentist License

License Number: 25281 Primary Status: Current - Active

Address :
236 Jamacha Rd
EL CAJON CA 92019-2366
SAN DIEGO COUNTY

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