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Licensing details for: 15968

Name: GENTLE DENTAL VISTA - A DENTAL OFFICE OF COX DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1680 S MELROSE DRIVE STE. 108
VISTA CA 92081-5472
SAN DIEGO county
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Practice Location

1680 S MELROSE DRIVE STE. 108
VISTA CA 92081-5472
SAN DIEGO county
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Issuance Date

September 8, 2020

Expiration Date

August 31, 2022

Current Date / Time

December 13, 2025
7:55:3 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: COX, WILLIAM JOSEPH

License/Registration Type: Dentist License

License Number: 26160 Primary Status: Current - Active

Address :
4950 BARRANCA PKWY #105
IRVINE CA 92604
ORANGE COUNTY

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