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Licensing details for: 2981

Name: JIZE, NICHOLAS RAMZEY

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

2775 Via De La Valle
Suite 103
DEL MAR CA 92014-1919
SAN DIEGO county
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Issuance Date

August 2, 2013

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
2:21:53 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FIRST TOOTH PEDIATRIC DENTAL PRACTICE OF DR. NICHOLAS JIZE

License/Registration Type: Fictitious Name Permit

License Number: 12768 Primary Status: Current - Active

Address :
2775 VIA DE LA VALLE, SUITE 103
DEL MAR CA 92014
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: JIZE, NICHOLAS RAMZEY

License/Registration Type: Dentist License

License Number: 62328 Primary Status: Current - Active

Address :
2775 Via De La Valle
Suite 103
DEL MAR CA 92014-1919
SAN DIEGO COUNTY

Map

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