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Licensing details for: 6592

Name: DESIGNING SMILES AT MISSION HILLS, DENTAL OFFICE OF RICHARD C. EV

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: DESIGNING SMILES AT MISSION HILLS, RICHARD C EVANGELISTA, DDS

Address of Record

194 FRANCISCO LANE
STE. 112
FREMONT CA 94539
ALAMEDA county
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Issuance Date

November 14, 2006

Expiration Date

August 31, 2014

Current Date / Time

June 6, 2025
2:9:42 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: EVANGELISTA, RICHARD CARLOS

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: EVANGELISTA, RICHARD CARLOS

License/Registration Type: Dentist License

License Number: 47258 Primary Status: Current - Active

Address :
450 Sutter St
#2633
SAN FRANCISCO CA 94108-4206
SAN FRANCISCO COUNTY

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