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Licensing details for: 13469

Name: DENTAL EXPRESS, DENTAL GROUP OF G.C. ASHMORE DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

210 PARK BLVD
SAN DIEGO CA 92101
SAN DIEGO county
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Practice Location

210 PARK BLVD
SAN DIEGO CA 92101
SAN DIEGO county
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Issuance Date

April 27, 2017

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
3:1:43 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ASHMORE, GLENN CASEY

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: ASHMORE, GLENN CASEY

License/Registration Type: Dentist License

License Number: 63198 Primary Status: Current - Active

Address :
4110 W POINT LOMA BLVD
SAN DIEGO CA 92110
SAN DIEGO COUNTY

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