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Licensing details for: 79947

Name: C.S. NICHOLSON III DDS INC

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1415 RIDGEBACK RD
CHULA VISTA CA 91910
SAN DIEGO county
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Practice Location

1415 RIDGEBACK RD
CHULA VISTA CA 91910
SAN DIEGO county
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Issuance Date

December 27, 2018

Expiration Date

May 31, 2022

Current Date / Time

June 7, 2025
7:39:23 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: NICHOLSON, CHARLES SIMMS III

License/Registration Type: Dentist License

License Number: 20425 Primary Status: Expired

Address :
236 Jamacha Rd
101
EL CAJON CA 92019-2366
SAN DIEGO COUNTY

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