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Licensing details for: 13556

Name: OCEAN ORAL AND MAXILLOFACIAL SURGERY, PRACTICE OF MCANINCH DENTAL GROUP INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1111 EAST OCEAN AVE STE 9
LOMPOC CA 93436
SANTA BARBARA county
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Practice Location

2425 Bath St
SANTA BARBARA CA 93105-4324
SANTA BARBARA county
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Issuance Date

May 25, 2017

Expiration Date

October 31, 2025

Current Date / Time

June 6, 2025
1:58:45 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MCANINCH, DAVID LEWIS

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MCANINCH, ELYSE MARIE

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: MCANINCH, DAVID LEWIS

License/Registration Type: Dentist License

License Number: 62204 Primary Status: Current - Active

Address :
1111 E Ocean Ave
Suite 9
LOMPOC CA 93436-7076
SANTA BARBARA COUNTY

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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: MCANINCH, ELYSE MARIE

License/Registration Type: Dentist License

License Number: 63862 Primary Status: Current - Active

Address :
207 2nd St
BUELLTON CA 93427-9763
SANTA BARBARA COUNTY

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