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Licensing details for: 8312

Name: PETER O. ESCUTIN, DDS & DANIEL ESTACIO, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Partnership

Previous Names: PETER O. ESCUTIN, DDS

Address of Record

8052 VINELAND AVE, STE 109
SUN VALLEY CA 91352
LOS ANGELES county
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Issuance Date

August 9, 2004

Expiration Date

October 31, 2007

Current Date / Time

June 6, 2025
10:15:38 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: ESCUTIN, PETER ONG

License/Registration Type: Dentist License

License Number: 38992 Primary Status: Current - Active

Address :
23119 Soboba Rd
SAN JACINTO CA 92583-2903
RIVERSIDE 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: ESTACIO, DANIEL TORIBIO

License/Registration Type: Dentist License

License Number: 47886 Primary Status: Current - Active

Address :
27310 ROSE MALLOW LN
SANTA CLARITA CA 91387
LOS ANGELES COUNTY

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