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Licensing details for: 81156

Name: S. ALVARADO AND M. PHAM DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1975 GARNET AVENUE. SUITE E
SAN DIEGO CA 92109
SAN DIEGO county
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Practice Location

1975 GARNET AVENUE. SUITE E
SAN DIEGO CA 92109
SAN DIEGO county
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Issuance Date

February 22, 2022

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
8:46:34 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: 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: 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: 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: PHAM, MINH BAO

License/Registration Type: Dentist License

License Number: 46321 Primary Status: Expired

Address :
5675 Balboa Ave
SAN DIEGO CA 92111-2705
SAN DIEGO COUNTY

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