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Licensing details for: 79719

Name: PHAM AND MAUSETH DDS INC

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

16918 DOVE CANYON RD STE 209
SAN DIEGO CA 92127
SAN DIEGO county
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Practice Location

16918 DOVE CANYON RD STE 209
SAN DIEGO CA 92127
SAN DIEGO county
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Issuance Date

July 11, 2018

Expiration Date

August 31, 2025

Current Date / Time

June 7, 2025
4:54:29 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: MAUSETH, SPENCER EUGENE

License/Registration Type: Dentist License

License Number: 61986 Primary Status: Current - Active

Address :
16918 Dove Canyon Rd
#203
SAN DIEGO CA 92127-3445
SAN DIEGO COUNTY

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