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Licensing details for: 17814

Name: DOWNTOWN SD MODERN DENTISTRY DENTAL GROUP, PRABHPREET KAILA DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

435 4th Avenue
SAN DIEGO CA 92101
SAN DIEGO county
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Practice Location

435 4th Avenue
SAN DIEGO CA 92101
SAN DIEGO county
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Issuance Date

May 4, 2023

Expiration Date

October 31, 2025

Current Date / Time

December 13, 2025
8:34:58 PM

License Relationships

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: KAILA, PRABHPREET SINGH

License/Registration Type: Dentist License

License Number: 57847 Primary Status: Expired

Address :
435 4th Ave
SAN DIEGO CA 92101-6234
SAN DIEGO COUNTY

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