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Licensing details for: 12235

Name: ARCHSTONE ORAL AND FACIAL SURGERY, DENTAL OFFICE OF ALFREDO A. DE

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: ARCHSSTONE ORAL AND FACIAL SURGERY, DENTAL OFFICE OF ALFREDO A. DELA ROSA, D.D.S., INC.

Address of Record

6063 Mission St
DALY CITY CA 94014-2007
SAN MATEO county
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Issuance Date

June 19, 2015

Expiration Date

August 31, 2027

Current Date / Time

December 13, 2025
7:53:7 AM

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: 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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