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Licensing details for: 16435

Name: SKYLINE DENTAL OFFICE JEAN EMILE F. PIANSAY, DDS

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1411 SKYLINE DRIVE
LEMON GROVE CA 91945
SAN DIEGO county
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Practice Location

1411 SKYLINE DRIVE
LEMON GROVE CA 91945
SAN DIEGO county
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Issuance Date

April 6, 2021

Expiration Date

January 31, 2022

Current Date / Time

June 6, 2025
2:15:9 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PIANSAY, JEAN EMILE FRANCISCO

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: PIANSAY, JEAN EMILE FRANCISCO

License/Registration Type: Dentist License

License Number: 40000 Primary Status: Current - Active

Address :
1411 SKYLINE DR
LEMON GROVE CA 91945
SAN DIEGO COUNTY

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