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Licensing details for: 993

Name: AGATEP, KATHRINA LEGASPI

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Secondary Status: Licensure by Residency

Specialty: Adult

Previous Names: AGATEP, KATHRINA L

Address of Record

9540 WAPLES STREET
SUITE A
SAN DIEGO CA 92121
SAN DIEGO county
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Practice Location

5531 Cancha de Golf
102
5531 Cancha de Golf, 102
RANCHO SANTA FE CA 92091-4624
SAN DIEGO county
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Issuance Date

March 2, 2007

Expiration Date

March 31, 2026

Current Date / Time

December 15, 2025
9:12:17 PM

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: AGATEP, KATHRINA LEGASPI

License/Registration Type: Dentist License

License Number: 51540 Primary Status: Current - Active

Address :
5531 Cancha De Golf
102
RANCHO SANTA FE CA 92091-4624
SAN DIEGO COUNTY

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