Dental Board of California
Licensing details for: 2853
Name: MAUSETH, SPENCER EUGENE
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
16918 Dove Canyon Rd Ste 203
SAN DIEGO CA 92127-3457
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RADIANT SMILES DENTAL OFFICE OF PHAM AND MAUSETH DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 14206 Primary Status: Current - Active
Address :
16918 DOVE CANYON RD STE 209
SAN DIEGO CA 92127
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CONVOY DENTAL, DENTAL PRACTICE OF PHAM AND MAUSETH DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 14312 Primary Status: Expired
Address :
3820 CONVOY ST.
SAN DIEGO CA 92111
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PALM AVENUE DENTAL OFFICE OF PHAM AND MAUSETH DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 14690 Primary Status: Cancelled
Address :
1761 PALM AVE
SAN DIEGO CA 92154-1150
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: STEEL CANYON SMILES DENTAL, DENTAL PRACTICE OF PHAM AND MAUSETH DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 14311 Primary Status: Expired
Address :
2990 JAMACHA RD. STE 132
EL CAJON CA 92019
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ENCINITAS PEDIATRIC DENTISTRY DENTAL PRACTICE OF PHAM AND MAUSETH DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 13289 Primary Status: Current - Active
Address :
135 SAXONY ROAD, #200
ENCINITAS CA 92024
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN ELIJO PEDIATRIC DENTAL PRACTICE & ORTHODONTICS DR. MAUSETH
License/Registration Type: Fictitious Name Permit
License Number: 17290 Primary Status: Current - Active
Address :
1640 SAN ELIJO ROAD #101
SAN MARCOS CA 92078
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: 4S PEDIATRIC DENTISTRY, DENTAL PRACTICE OF PHAM AND MAUSETH DDS I
License/Registration Type: Fictitious Name Permit
License Number: 12029 Primary Status: Current - Active
Address :
16918 DOVE CANYON ROAD #203
SAN DIEGO CA 92127
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANTEE PEDIATRIC DENTISTRY, DENTAL PRACTICE OF BPM DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 13896 Primary Status: Cancelled
Address :
110 TOWN CENTER PKWY STE A
SANTEE CA 92071
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: EASTLAKE PEDIATRIC DENTISTRY, DENTAL OFFICE OF PHAM AND MAUSETH DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 14748 Primary Status: Expired
Address :
2015 BIRCH RD STE 103
CHULA VISTA CA 91915
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SONRISA DENTAL, DENTAL PRACTICE OF PHAM AND MAUSETH DDS INC.
License/Registration Type: Fictitious Name Permit
License Number: 14310 Primary Status: Expired
Address :
510 BROADWAY UNIT 4
CHULA VISTA CA 91910
SAN DIEGO COUNTY
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: MAUSETH, SPENCER EUGENE
License/Registration Type: Dentist License
License Number: 61986 Primary Status: Current - Active
Address :
16918 Dove Canyon Rd
#203
SAN DIEGO CA 92127-3445
SAN DIEGO COUNTY
