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Licensing details for: 1115

Name: BERNARDO DENTAL OFFICE - DR. N DUTTA

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

16466 BERNARDO CENTER DRIVE
SUITE 185
SAN DIEGO CA 92128
SAN DIEGO county
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Issuance Date

July 20, 1995

Expiration Date

October 31, 2020

Current Date / Time

December 13, 2025
11:59:35 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: DUTTA, NAMITA

License/Registration Type: Dentist License

License Number: 38671 Primary Status: Current - Active

Address :
6455 Surfside Ln
CARLSBAD CA 92011-3208
SAN DIEGO COUNTY

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