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Licensing details for: 5759

Name: CHARLES D. KRILL,DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

21 SANTA ROSA
SUITE 50
SAN LUIS OBISPO CA 93401
SAN LUIS OBISPO county
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Issuance Date

April 16, 1997

Expiration Date

January 31, 2002

Current Date / Time

June 6, 2025
2:22:41 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: KRILL, CHARLES DAVID

License/Registration Type: Dentist License

License Number: 23334 Primary Status: Expired

Address :
1920 Creston Rd Ste B
PASO ROBLES CA 93446-4462
SAN LUIS OBISPO COUNTY

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