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Licensing details for: 11325

Name: W.A. STEPHAN, A DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

860 JAMACHA RD #201
EL CAJON CA 92019
SAN DIEGO county
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Practice Location

860 JAMACHA RD #201
EL CAJON CA 92019
SAN DIEGO county
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Issuance Date

February 4, 2014

Expiration Date

August 31, 2024

Current Date / Time

June 13, 2026
5:59:04 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: STEPHAN, WALEED ASHAK

License/Registration Type: Dentist License

License Number: 43892 Primary Status: Current - Active

Address :
860 Jamacha rd # 201
860 Jamacha rd # 201
EL CAJON CA 92019
SAN DIEGO COUNTY

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