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Licensing details for: 11081

Name: TEETH, GUMS & BEYOND, DENTAL PRACTICE OF MYLENE D. GANDINGCO, D.M

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: TEETH, GUMS & BEYOND DENTAL PRACTICE OF MYLENE D. GANDINGCO, D.M.D. INC

Address of Record

341 WESTLAKE CENTER
SUITE 257
DALY CITY CA 94015
SAN MATEO county
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Practice Location

341 WESTLAKE CENTER
SUITE 257
DALY CITY CA 94015
SAN MATEO county
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Issuance Date

February 12, 2014

Expiration Date

May 31, 2027

Current Date / Time

June 6, 2025
1:59:11 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GANDINGCO, MYLENE DELEON

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: GANDINGCO, MYLENE DELEON

License/Registration Type: Dentist License

License Number: 48109 Primary Status: Current - Active

Address :
257 SECOND AVE
DALY CITY CA 94014
SAN MATEO COUNTY

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