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Licensing details for: 10545

Name: FRESH DENTAL, PRACTICE OF ANDREW D. GAMACHE, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: FRESH DENTAL, ANDREW D. GAMACHE, DDS, INC.

Address of Record

306 WALNUT AVENUE, STE. 31
SAN DIEGO CA 92103
SAN DIEGO county
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Practice Location

306 WALNUT AVENUE, STE. 31
SAN DIEGO CA 92103
SAN DIEGO county
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Issuance Date

June 20, 2013

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
2:8:13 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GAMACHE, ANDREW D

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: GAMACHE, ANDREW D

License/Registration Type: Dentist License

License Number: 54255 Primary Status: Current - Active

Address :
306 WALNUT AVE
STE 31
SAN DIEGO CA 92103
SAN DIEGO COUNTY

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