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Licensing details for: 2420

Name: LOCKWOOD, JOY BONIFACIO

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Previous Names: BONIFACIO, JOY R BONIFACIO, JOY REMIGIO

Address of Record

7741 Eagle Ridge Dr
SAN DIEGO CA 92119-1769
SAN DIEGO county
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Issuance Date

November 22, 2010

Expiration Date

April 30, 2023

Current Date / Time

June 7, 2025
7:22:4 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: RIO VISTA FAMILY DENTISTRY, DENTAL OFFICE,

License/Registration Type: Fictitious Name Permit

License Number: 5160 Primary Status: Expired

Address :
8590 RIO SAN DIEGO DR, STE 110
SAN DIEGO CA 92108
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: LOCKWOOD, JOY BONIFACIO

License/Registration Type: Dentist License

License Number: 50126 Primary Status: Current - Active

Address :
7741 Eagle Ridge Dr
SAN DIEGO CA 92119-1769
SAN DIEGO COUNTY

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