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Licensing details for: 1107

Name: CHULA VISTA DENTAL GROUP & KURUVADI DENTAL CORP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

340 4TH AVENUE, SUITE_1
CHULA VISTA CA 91910
SAN DIEGO county
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Issuance Date

July 20, 1995

Expiration Date

August 31, 1998

Current Date / Time

December 13, 2025
5:16:26 PM

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: KURUVADI, VINOD SATHYA

License/Registration Type: Dentist License

License Number: 37686 Primary Status: Expired

Address :
1111 Majestad Ln
CHULA VISTA CA 91910-7924
SAN DIEGO COUNTY

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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: KURUVADI, SAILAJA

License/Registration Type: Dentist License

License Number: 39431 Primary Status: Expired

Address :
1111 Majestad Ln
CHULA VISTA CA 91910-7924
SAN DIEGO COUNTY

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