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Licensing details for: 15047

Name: DELUXE DENTAL GROUP JEREMY WALKER, DMD AND ASSOCIATES

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1910 MISSION AVE. SUITE D
OCEANSIDE CA 92058
SAN DIEGO county
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Practice Location

1910 MISSION AVE. SUITE D
OCEANSIDE CA 92058
SAN DIEGO county
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Issuance Date

June 6, 2019

Expiration Date

May 31, 2021

Current Date / Time

June 6, 2025
3:1:59 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: WALKER, JEREMY LYNN

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: WALKER, JEREMY LYNN

License/Registration Type: Dentist License

License Number: 100836 Primary Status: Expired

Address :
3870 Mission Ave
Ste D4
OCEANSIDE CA 92058
SAN DIEGO COUNTY

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