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Licensing details for: 15670

Name: SANTEE DENTAL GROUP PRACTICE OF MICHAEL HANNA DENTAL CORP

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

235 TOWN CENTER PKWY SUITE D
SANTEE CA 92071
SAN DIEGO county
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Practice Location

235 TOWN CENTER PKWY SUITE D
SANTEE CA 92071
SAN DIEGO county
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Issuance Date

February 12, 2020

Expiration Date

November 30, 2025

Current Date / Time

June 6, 2025
2:15:56 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HANNA, MICHAEL GEORGE

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: HANNA, MICHAEL GEORGE

License/Registration Type: Dentist License

License Number: 101090 Primary Status: Current - Active

Address :
235 Town Center Pkwy
D
SANTEE CA 92071-5811
SAN DIEGO COUNTY

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