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Licensing details for: 15978

Name: DENTAL EXPRESS DENTAL GROUP GCA ASHMORE DENTAL CORP.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1310 EAST VALLEY PARKWAY SUITE A
ESCONDIDO CA 92027
SAN DIEGO county
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Practice Location

1310 EAST VALLEY PARKWAY SUITE A
ESCONDIDO CA 92027
SAN DIEGO county
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Issuance Date

September 11, 2020

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
1:44:21 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ASHMORE, GLENN CASEY

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: ASHMORE, GLENN CASEY

License/Registration Type: Dentist License

License Number: 63198 Primary Status: Current - Active

Address :
4110 W POINT LOMA BLVD
SAN DIEGO CA 92110
SAN DIEGO COUNTY

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