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Licensing details for: 16690

Name: MONARCA DENTAL GROUP DENTAL OFFICE OF SERGIO AYALA DDS

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

706 TOWNSITE DR
VISTA CA 92084
SAN DIEGO county
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Practice Location

706 TOWNSITE DR
VISTA CA 92084
SAN DIEGO county
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Issuance Date

August 4, 2021

Expiration Date

August 31, 2024

Current Date / Time

June 6, 2025
1:53:46 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AYALA, SERGIO

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: AYALA, SERGIO

License/Registration Type: Dentist License

License Number: 58937 Primary Status: Current - Active

Address :
1922 S Garey Ave
POMONA CA 91766-5724

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