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Licensing details for: 11910

Name: J. MAROON, D.D.S., INC.

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: J, MAROON, DDS INC. C

Address of Record

2168 BALBOA AVE SUITE 1
PACIFIC BEACH CA 92109
SAN DIEGO county
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Practice Location

2168 BALBOA AVE SUITE 1
PACIFIC BEACH CA 92109
SAN DIEGO county
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Issuance Date

June 8, 2015

Expiration Date

March 31, 2021

Current Date / Time

June 6, 2025
2:23:16 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: HOSSEINI-MAROON, MANIJEH

License/Registration Type: Dentist License

License Number: 40946 Primary Status: Current - Active

Address :
310 Third Ave Ste C1B
CHULA VISTA CA 91910-3954
SAN DIEGO COUNTY

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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: MAROON, JOHN PAUL

License/Registration Type: Dentist License

License Number: 40671 Primary Status: Current - Active

Address :
310 THIRD AVE
SUITE C-1B
CHULA VISTA CA 91910
SAN DIEGO COUNTY

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