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Licensing details for: 10222

Name: PETER A. KRAKOWIAK, DMD, A PROF. DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: PETER A. KRAKOWIAK DMD ADDC

Address of Record

5256 S. MISSION RD.
STE. 1103
BONSALL CA 92003
SAN DIEGO county
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Issuance Date

July 2, 2010

Expiration Date

December 31, 2021

Current Date / Time

June 6, 2025
10:30:19 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: KRAKOWIAK, PETER ADAM

License/Registration Type: Dentist License

License Number: 49350 Primary Status: Current - Active

Address :
25460 Medical Center Dr
201
MURRIETA CA 92562-5966
RIVERSIDE COUNTY

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