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Licensing details for: 82056

Name: PRERNA GARG, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

6699 ALVARADO RD 2202
SAN DIEGO CA 92120
SAN DIEGO county
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Practice Location

6699 ALVARADO RD 2202
SAN DIEGO CA 92120
SAN DIEGO county
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Issuance Date

February 12, 2025

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
2:31:59 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: GARG, PRERNA

License/Registration Type: Dentist License

License Number: 102280 Primary Status: Current - Active

Address :
90 Vantis Dr
1122
ALISO VIEJO CA 92656-2556
ORANGE COUNTY

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