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Licensing details for: 3460

Name: CALIXTO, LUIS EDUARDO

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Previous Names: CALIXTO-URIBE, LUIS EDUARDO

Address of Record

6368 EL CAJON BLVD
SAN DIEGO CA 92115
SAN DIEGO county
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Issuance Date

April 4, 2016

Expiration Date

February 28, 2022

Current Date / Time

June 6, 2025
2:18:51 AM

License Relationships

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: CALIXTO, LUIS EDUARDO

License/Registration Type: Dentist License

License Number: 41363 Primary Status: Current - Active

Address :
6368 EL CAJON BLVD
SAN DIEGO CA 92115
SAN DIEGO COUNTY

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