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Licensing details for: 11447

Name: A.R. ORAL SURGERY AND IMPLANT CENTER, DENTAL OFFICE OF ALFREDO A

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: A.R. ORAL SURGERY AND IMPLANT CENTER DENTAL OFFICE OF DR. ALFREDO A. DELA ROSA

Address of Record

6063 MISSION STREET
DALY CITY CA 94014
SAN MATEO county
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Practice Location

6063 MISSION STREET
DALY CITY CA 94014
SAN MATEO county
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Issuance Date

August 6, 2014

Expiration Date

August 31, 2015

Current Date / Time

June 6, 2025
10:45:20 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DELA ROSA, ALFREDO ACERO

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: DELA ROSA, ALFREDO ACERO

License/Registration Type: Dentist License

License Number: 56785 Primary Status: Current - Active

Address :
6063 Mission St
DALY CITY CA 94014-2007
SAN MATEO COUNTY

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