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Licensing details for: 3256

Name: MORENO, HELEN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

4711 Monroe Ave
SAN DIEGO CA 92115-3202
SAN DIEGO county
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Issuance Date

December 31, 2014

Expiration Date

November 30, 2023

Current Date / Time

June 21, 2025
9:38:1 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SERRA MESA SMILES DENTAL OFFICE OF HELEN MORENO

License/Registration Type: Fictitious Name Permit

License Number: 17773 Primary Status: Current - Active

Address :
3444 KEARNY VILLA ROAD, SUITE 406
SAN DIEGO CA 92123
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: MORENO, HELEN

License/Registration Type: Dentist License

License Number: 63809 Primary Status: Current - Active

Address :
3444 Kearny Villa Rd
Suite 406
SAN DIEGO CA 92123-1959
SAN DIEGO COUNTY

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