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Licensing details for: 11336

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 St
UNIT 305
SAN DIEGO CA 92101-2577
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

June 11, 2014

Expiration Date

February 1, 2016

Current Date / Time

June 6, 2025
1:58:30 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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