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Licensing details for: 2477

Name: CAMARILLO DENTAL GROUP

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2380-A E LAS POSAS ROAD
CAMARILLO CA 93010
VENTURA county
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Issuance Date

August 19, 1999

Expiration Date

June 30, 2006

Current Date / Time

June 6, 2025
7:1:54 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: HUSTON, PATRICK LAIRD

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: HUSTON, PATRICK LAIRD

License/Registration Type: Dentist License

License Number: 45709 Primary Status: Current - Active

Address :
1076 E 1st St Ste F
TUSTIN CA 92780-3852
ORANGE COUNTY

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