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Licensing details for: 81185

Name: PETER A KRAKOWIAK, D.M.D., A PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

111 W MISSION RD #A
FALLBROOK CA 92028
SAN DIEGO county
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Practice Location

111 W MISSION RD #A
FALLBROOK CA 92028
SAN DIEGO county
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111 W Mission Road #A
FALLBROOK CA 92028
SAN DIEGO county
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Issuance Date

April 28, 2022

Expiration Date

December 31, 2027

Current Date / Time

December 13, 2025
9:49:25 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: KRAKOWIAK, PETER ADAM

License/Registration Type: Dentist License

License Number: 49350 Primary Status: Current - Active

Address :
25460 Medical Center Dr
201
MURRIETA CA 92562-5966
RIVERSIDE COUNTY

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