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Licensing details for: 80746

Name: C. ASHMORE DENTAL CORP.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

15717 BERNARDO HEIGHTS PKWY.
SAN DIEGO CA 92128
SAN DIEGO county
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Practice Location

15717 BERNARDO HEIGHTS PKWY.
SAN DIEGO CA 92128
SAN DIEGO county
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Issuance Date

December 16, 2020

Expiration Date

May 31, 2022

Current Date / Time

June 6, 2025
11:38:35 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: ASHMORE, GLENN CASEY

License/Registration Type: Dentist License

License Number: 63198 Primary Status: Current - Active

Address :
4110 W POINT LOMA BLVD
SAN DIEGO CA 92110
SAN DIEGO COUNTY

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