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Licensing details for: 18378

Name: MY SMILE SAN DIEGO DENTAL GROUP OF DR. VALADEZ

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

585 TELEGRAPH CANYON ROAD
CHULA VISTA CA 91910-6436
SAN DIEGO county
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Practice Location

585 TELEGRAPH CANYON ROAD
CHULA VISTA CA 91910-6436
SAN DIEGO county
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Issuance Date

February 2, 2024

Expiration Date

July 31, 2026

Current Date / Time

June 6, 2025
3:13:16 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: VALADEZ, JAVIER

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: VALADEZ, JAVIER

License/Registration Type: Dentist License

License Number: 51666 Primary Status: Current - Active

Address :
2650 Camino Del Rio N
102
SAN DIEGO CA 92108-1621

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