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Licensing details for: 18713

Name: EXPLORE ORTHODONTICS DENTAL PRACTICE OF BRANDON MALAN DDS INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1505 SHEPARD DR SUITE #101
SANTA MARIA CA 93454-7020
SANTA BARBARA county
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Practice Location

1505 SHEPARD DR SUITE #101
SANTA MARIA CA 93454-7020
SANTA BARBARA county
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Issuance Date

July 5, 2024

Expiration Date

December 31, 2025

Current Date / Time

June 6, 2025
1:33:3 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: MALAN, BRANDON BLAKE

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: MALAN, BRANDON BLAKE

License/Registration Type: Dentist License

License Number: 101309 Primary Status: Current - Active

Address :
398 Alder St
ARROYO GRANDE CA 93420-3820
SAN LUIS OBISPO COUNTY

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