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Licensing details for: 3818

Name: COLLEGE DENTAL GROUP, BUEHLER, LOMBOY,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

467 COLLEGE BLVD, STE I
OCEANSIDE CA 92057
SAN DIEGO county
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Issuance Date

August 8, 2002

Expiration Date

October 31, 2007

Current Date / Time

June 6, 2025
1:22:36 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: REAGAN, DARIN SCOTT

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LOMBOY, JOSE LITO M

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BUEHLER, BRIAN DONALD

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: LOMBOY, JOSE LITO M

License/Registration Type: Dentist License

License Number: 41111 Primary Status: Current - Active

Address :
4980 BARRANCA PKWY
STE 160
IRVINE CA 92604
ORANGE 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: REAGAN, DARIN SCOTT

License/Registration Type: Dentist License

License Number: 34407 Primary Status: Current - Active

Address :
943 AVENIDA PICO, STE. A
SAN CLEMENTE CA 92673
ORANGE 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: BUEHLER, BRIAN DONALD

License/Registration Type: Dentist License

License Number: 38166 Primary Status: Current - Active

Address :
943 Pico Ste.A
SAN CLEMENTE CA 92673
ORANGE COUNTY

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