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Licensing details for: 10414

Name: 911 DENTIST, LUISINIA A. DELGADO DENTAL PRACTICE

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: 911 DENTIST, LUISINIA A. DELGADO 911 DENTIST, LUISINIA A. DELGADO GARCES DENTAL PRACTICE 911 DENTIST DELGADO DENTAL CORPORATION

Address of Record

825 W. BEECH STREET, UNIT 305
SAN DIEGO CA 92101
SAN DIEGO county
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Practice Location

825 W. BEECH STREET, UNIT 305
SAN DIEGO CA 92101
SAN DIEGO county
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Issuance Date

April 30, 2013

Expiration Date

July 31, 2016

Current Date / Time

June 6, 2025
1:22:31 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DELGADO, LUISINIA ALICIA

Address Not Disclosed

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: DELGADO, LUISINIA ALICIA

License/Registration Type: Dentist License

License Number: 59109 Primary Status: Current - Active

Address :
13215 FAIRFIELD ARBOR DR.
HOUSTON TX 77059
HARRIS COUNTY

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