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Licensing details for: 80077

Name: STEPHAN FAMILY DENTAL, A DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

480 N MAGNOLIA AVE #103
EL CAJON CA 92020
SAN DIEGO county
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Practice Location

480 N MAGNOLIA AVE #103
EL CAJON CA 92020
SAN DIEGO county
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Issuance Date

May 24, 2019

Expiration Date

August 31, 2022

Current Date / Time

June 13, 2026
5:58:38 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: STEPHAN, WALEED ASHAK

License/Registration Type: Dentist License

License Number: 43892 Primary Status: Current - Active

Address :
860 Jamacha rd # 201
860 Jamacha rd # 201
EL CAJON CA 92019
SAN DIEGO COUNTY

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