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Licensing details for: 1883

Name: MIRA COSTA DENTAL, DENTAL PRACTICE OF DR JOSE M. DUENAS & DR. ANG

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: MIRA COSTA DENTAL JOSE M. DUENES, A PROFESSIONAL DENTAL CORPORATION DBA

Address of Record

3502 COLLEGE BLVD
SUITE B
OCEANSIDE CA 92057
SAN DIEGO county
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Issuance Date

March 9, 1998

Expiration Date

February 28, 2026

Current Date / Time

June 6, 2025
2:54:20 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DUENES, JOSE M

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DUENES, ANGELA TERESITA

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: DUENES, JOSE M

License/Registration Type: Dentist License

License Number: 35047 Primary Status: Current - Active

Address :
3502 College Blvd Ste B
OCEANSIDE CA 92056-4671
SAN DIEGO COUNTY

Map

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: DUENES, ANGELA TERESITA

License/Registration Type: Dentist License

License Number: 38987 Primary Status: Current - Active

Address :
3502 College Blvd Ste B
OCEANSIDE CA 92056-4671
SAN DIEGO COUNTY

Map

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