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Licensing details for: 80702

Name: COX PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1680 S. MELROSE DR., STE. 108
VISTA CA 92081
SAN DIEGO county
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Practice Location

1680 S. MELROSE DR., STE. 108
VISTA CA 92081
SAN DIEGO county
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Issuance Date

October 27, 2020

Expiration Date

August 31, 2022

Current Date / Time

June 6, 2025
3:19:16 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: COX, WILLIAM JOSEPH

License/Registration Type: Dentist License

License Number: 26160 Primary Status: Current - Active

Address :
4950 BARRANCA PKWY #105
IRVINE CA 92604
ORANGE COUNTY

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