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Licensing details for: 14789

Name: FACES OF THE MISSION ORAL AND MAXILLOFACIAL SURGERY DENTAL PRACTICE OF DR. JUAN F. LUQUE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

2480 MISSION ST., SUITE 219
SAN FRANCISCO CA 94110
SAN FRANCISCO county
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Practice Location

2480 MISSION ST., SUITE 219
SAN FRANCISCO CA 94110
SAN FRANCISCO county
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Issuance Date

February 1, 2019

Expiration Date

August 31, 2022

Current Date / Time

December 13, 2025
7:56:37 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: LUQUE, JUAN FERNANDO

License/Registration Type: Dentist License

License Number: 48321 Primary Status: Current - Active

Address :
3085 24th St
STE 201
SAN FRANCISCO CA 94110
SAN FRANCISCO COUNTY

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