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Licensing details for: 9742

Name: PETER O. ESCUTIN, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: PETER O. ESCUTIN

Address of Record

8052 VINELAND AVE.
STE. 109
SIMI VALLEY CA 91352
VENTURA county
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Issuance Date

October 20, 2008

Expiration Date

October 31, 2009

Current Date / Time

June 7, 2025
2:54:9 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: 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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