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Licensing details for: 5630

Name: MERCY DENTAL GROUP, RALPH L RAYA, DDS, A PROFESSIONAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

550 WASHINGTON ST, STE 435
SAN DIEGO CA 92103
SAN DIEGO county
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Issuance Date

June 17, 2005

Expiration Date

July 31, 2006

Current Date / Time

June 6, 2025
2:2:37 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RAYA, RALPH LUNA

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: RAYA, RALPH L

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: RAYA, RALPH LUNA

License/Registration Type: Dentist License

License Number: 29728 Primary Status: Current - Active

Address :
818 Caminito Del Reposo
CARLSBAD CA 92011-2403
SAN DIEGO COUNTY

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