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Licensing details for: 15024

Name: TRI-CITY ORTHODONTICS DENTAL OFFICE OF MICHAEL L. LUTHER DDS INC.

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

3998 VISTA WAY SUITE B
OCEANSIDE CA 92056
SAN DIEGO county
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Practice Location

3998 VISTA WAY SUITE B
OCEANSIDE CA 92056
SAN DIEGO county
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Issuance Date

June 3, 2019

Expiration Date

September 30, 2022

Current Date / Time

June 21, 2025
11:46:41 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LUTHER, MICHAEL LOUIS

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: LUTHER, MICHAEL LOUIS

License/Registration Type: Dentist License

License Number: 23125 Primary Status: Current - Active

Address :
913 EAST VALLEY PARKWAY
ESCONDIDO CA 92025
SAN DIEGO COUNTY

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