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Licensing details for: 17773

Name: SERRA MESA SMILES DENTAL OFFICE OF HELEN MORENO

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

3444 KEARNY VILLA ROAD, SUITE 406
SAN DIEGO CA 92123
SAN DIEGO county
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Practice Location

3444 KEARNY VILLA ROAD, SUITE 406
SAN DIEGO CA 92123
SAN DIEGO county
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Issuance Date

April 13, 2023

Expiration Date

November 30, 2025

Current Date / Time

June 21, 2025
9:36:11 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MORENO, HELEN

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: MORENO, HELEN

License/Registration Type: Dentist License

License Number: 63809 Primary Status: Current - Active

Address :
3444 Kearny Villa Rd
Suite 406
SAN DIEGO CA 92123-1959
SAN DIEGO COUNTY

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