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Licensing details for: 11173

Name: ROGERS AND REAGAN DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

467 College Blvd Ste 2
OCEANSIDE CA 92057-5436
SAN DIEGO county
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Practice Location

467 COLLEGE BLVD., SUITE 2
OCEANSIDE CA 92057
SAN DIEGO county
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Issuance Date

August 8, 2013

Expiration Date

June 30, 2020

Current Date / Time

December 17, 2025
8:26:44 PM

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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