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Licensing details for: 10043

Name: NOSTI AND REAGAN DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

709 Center Dr Ste 101
SAN MARCOS CA 92069-2502
SAN DIEGO county
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Practice Location

709 CENTER DRIVE SUITE 101
SAN MARCOS CA 92609
SAN DIEGO county
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Issuance Date

October 29, 2009

Expiration Date

June 30, 2018

Current Date / Time

June 6, 2025
2:21:10 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: REAGAN, DARIN SCOTT

License/Registration Type: Dentist License

License Number: 34407 Primary Status: Current - Active

Address :
943 AVENIDA PICO, STE. A
SAN CLEMENTE CA 92673
ORANGE COUNTY

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