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Licensing details for: 14719

Name: CORNERSTONE ENDODONTICS, DENTAL PRACTICE OF DANIEL A. CHOI, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

130 AVENIDA CABRILLO STE B
SAN CLEMENTE CA 92672
ORANGE county
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Practice Location

130 AVENIDA CABRILLO STE B
SAN CLEMENTE CA 92672
ORANGE county
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Issuance Date

December 27, 2018

Expiration Date

September 30, 2020

Current Date / Time

June 6, 2025
2:3:35 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHOI, DANIEL AARON

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: CHOI, DANIEL AARON

License/Registration Type: Dentist License

License Number: 100484 Primary Status: Current - Inactive

Address :
4212 N 16th St
PHOENIX AZ 85016-5319
MARICOPA COUNTY

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