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Licensing details for: 3266

Name: GAMACHE, ANDREW D

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

306 Walnut Ave
Suite 31
SAN DIEGO CA 92103-4978
SAN DIEGO county
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Issuance Date

March 12, 2015

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
3:26:46 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FRESH DENTAL, PRACTICE OF ANDREW D. GAMACHE, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 10545 Primary Status: Current - Active

Address :
306 WALNUT AVENUE, STE. 31
SAN DIEGO CA 92103
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: GAMACHE, ANDREW D

License/Registration Type: Dentist License

License Number: 54255 Primary Status: Current - Active

Address :
306 WALNUT AVE
STE 31
SAN DIEGO CA 92103
SAN DIEGO COUNTY

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