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Licensing details for: 10139

Name: TIERRASANTA PLAZA DENTAL CARE, DENTAL GROUP OF RALPH L. RAYA, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: TIERRASANTA PLAZA DENTAL CARE DENTAL GROUP OF RALPH L. RAYA, D.D.S, INC

Address of Record

10715 TIERRASANTA BOULEVARD, STE. C
SAN DIEGO CA 92124
SAN DIEGO county
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Practice Location

10715 TIERRASANTA BOULEVARD, STE. C
SAN DIEGO CA 92124
SAN DIEGO county
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Issuance Date

October 4, 2012

Expiration Date

July 31, 2016

Current Date / Time

December 13, 2025
9:44:9 AM

License Relationships

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: RAYA, RALPH LUNA

License/Registration Type: Dentist License

License Number: 29728 Primary Status: Current - Active

Address :
818 Caminito Del Reposo
CARLSBAD CA 92011-2403
SAN DIEGO COUNTY

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