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Licensing details for: 7899

Name: VIJAYA KV PRABHU, DDS, A PROFESSIONAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

13350 CAMINO RUIZ, BLDG B, #6
SAN DIEGO CA 92129
SAN DIEGO county
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Issuance Date

February 27, 2003

Expiration Date

March 31, 2027

Current Date / Time

June 13, 2026
9:29:37 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: PRABHU, VIJAYA KV

License/Registration Type: Dentist License

License Number: 38736 Primary Status: Current - Active

Address :
306 EL NORTE FAMILY PARKWAY
SUITE D & E
ESCONDIDO CA 92026
SAN DIEGO COUNTY

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