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Licensing details for: 4545

Name: MILLBRAE SMILE CENTER, DENTAL PRACTICE OF VALERIE DE LEON, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Address of Record

15 EL CAMINO REAL
MILLBRAE CA 94030
SAN MATEO county
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Issuance Date

October 6, 2003

Expiration Date

April 30, 2012

Current Date / Time

June 6, 2025
10:11:27 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DE LEON, VALERIE

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DE LEON, MARIA VALERIE POZON

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: DE LEON, MARIA VALERIE POZON

License/Registration Type: Dentist License

License Number: 49195 Primary Status: Current - Active

Address :
425 Mission St
Ste # 220
SAN FRANCISCO CA 94105-2507
SAN FRANCISCO COUNTY

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