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Licensing details for: 80413

Name: YIGE ZHAO DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

9840 CARMEL MOUNTAIN ROAD
SAN DIEGO CA 92129
SAN DIEGO county
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Practice Location

9840 CARMEL MOUNTAIN ROAD
SAN DIEGO CA 92129
SAN DIEGO county
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Issuance Date

December 4, 2019

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
2:23:19 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: ALVARADO, STEVEN Christopher

License/Registration Type: Dentist License

License Number: 59267 Primary Status: Current - Active

Address :
4640 Cass St Unit 9720
SAN DIEGO CA 92109-2804
SAN DIEGO COUNTY

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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: LE, RONNY TRAN

License/Registration Type: Dentist License

License Number: 62766 Primary Status: Current - Active

Address :
4142 Adams Ave
Suite 104
SAN DIEGO CA 92116-2592
SAN DIEGO COUNTY

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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: BOCASH, GREGORY

License/Registration Type: Dentist License

License Number: 60573 Primary Status: Current - Active

Address :
2484 VISTA WAY, SUITE B
OCEANSIDE CA 92054
SAN DIEGO COUNTY

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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: NOSTI, JOHN CHARLES

License/Registration Type: Dentist License

License Number: 48655 Primary Status: Current - Active

Address :
709 Center Dr Ste 101
SAN MARCOS CA 92069-2502
SAN DIEGO COUNTY

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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: ZHAO, YIGE

License/Registration Type: Dentist License

License Number: 64863 Primary Status: Current - Active

Address :
640 W Mission Ave
ESCONDIDO CA 92025-1611
SAN DIEGO COUNTY

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