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Licensing details for: 1973

Name: ENDODONTIC ASSOCATES, RC BURNS, DD MOORE, VE MOORE,FR CHO,DENTAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

235 NORTH SAN MATEO DRIVE
SUITE 400
SAN MATEO CA 94401
SAN MATEO county
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Issuance Date

May 19, 1998

Expiration Date

December 31, 2002

Current Date / Time

June 13, 2026
6:31:31 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: MOORE, VICTORIA ELIZABETH

License/Registration Type: Dentist License

License Number: 35765 Primary Status: Current - Active

Address :
235 N SAN MATEO
SUITE #400
SAN MATEO CA 94402
SAN MATEO COUNTY

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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: MOORE, DAVID D

License/Registration Type: Dentist License

License Number: 15738 Primary Status: Cancelled

Address :
240 Bridge Rd
HILLSBOROUGH CA 94010-6910
SAN MATEO COUNTY

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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: BURNS, RICHARD C

License/Registration Type: Dentist License

License Number: 15382 Primary Status: Cancelled

Address :
24 BELFORD WAY
SAN MATEO CA 94402
SAN MATEO COUNTY

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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: CHO, FREDERICK RODNEY

License/Registration Type: Dentist License

License Number: 35693 Primary Status: Current - Active

Address :
235 N SAN MATEO DRIVE
STE 400
SAN MATEO CA 94401
SAN MATEO COUNTY

Map

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