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Licensing details for: 18409

Name: ALTA VISTA DENTAL, DENTAL OFFICE OF JORGE A. URREA, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

775 SHADOWRIDGE DR
VISTA CA 92083
SAN DIEGO county
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Practice Location

775 SHADOWRIDGE DR
VISTA CA 92083
SAN DIEGO county
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Issuance Date

February 16, 2024

Expiration Date

November 30, 2027

Current Date / Time

December 13, 2025
7:53:33 AM

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: URREA, JORGE ALBERTO

License/Registration Type: Dentist License

License Number: 54777 Primary Status: Current - Active

Address :
775 Shadowridge Dr
VISTA CA 92083-7997
SAN DIEGO COUNTY

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