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Licensing details for: 17582

Name: IMPERIAL DENTAL GROUP PRACTICE OF DR. ROBERT ALLEN CAMHI

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: IMPERIAL DENTAL

Address of Record

137 S. LAS POSAS RD STE 250
SAN MARCOS CA 92078
SAN DIEGO county
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Practice Location

137 S. LAS POSAS RD STE 250
SAN MARCOS CA 92078
SAN DIEGO county
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Issuance Date

December 28, 2022

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
2:49:6 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CAMHI, ROBERT ALLEN

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: CAMHI, ROBERT ALLEN

License/Registration Type: Dentist License

License Number: 30746 Primary Status: Current - Active

Address :
340 Roderick Ln
GREENVILLE SC 29605-6172
GREENVILLE COUNTY

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