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Licensing details for: 7582

Name: GUY W MENDIVIL, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

985 S SANTA FE, STE 2
VISTA CA 92083
SAN DIEGO county
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Issuance Date

February 7, 2002

Expiration Date

November 30, 2004

Current Date / Time

June 7, 2025
9:9:16 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: MENDIVIL, GUY WILLIAM

License/Registration Type: Dentist License

License Number: 29737 Primary Status: Current - Active

Address :
11901 Bolthouse Dr
SUITE 200
BAKERSFIELD CA 93311-8455

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