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Licensing details for: 16678

Name: ENCINITAS PERIODONTICS AND DENTAL IMPLANTS DENTAL PRACTICE OF DR. KANIKA BEMBEY

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: ENCINITAS PERIODONTICS AND DENTAL IMPLANTS PRACTICE OF DR. KANIKA BEMBEY

Address of Record

477 N. EL CAMINO REAL C306
ENCINITAS CA 92024
SAN DIEGO county
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Practice Location

477 N. EL CAMINO REAL C306
ENCINITAS CA 92024
SAN DIEGO county
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Issuance Date

July 30, 2021

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
1:44:9 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BEMBEY, KANIKA

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: BEMBEY, KANIKA

License/Registration Type: Dentist License

License Number: 103138 Primary Status: Current - Active

Address :
6671 Agave Cir
CARLSBAD CA 92011-3617
SAN DIEGO COUNTY

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