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Licensing details for: 6763

Name: NEIGHBORHOOD FAMILY DENTAL PRACTICE OF G. L. BERRY, DDS, A DENTAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: NEIGHBORHOOD FAMILY DENTAL

Address of Record

5527 CLAIREMONT MESA BLVD.
SAN DIEGO CA 92117
SAN DIEGO county
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Issuance Date

March 12, 2007

Expiration Date

January 31, 2010

Current Date / Time

May 29, 2026
9:35:29 AM

License Relationships

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: BERRY, GLADYS LUISA

License/Registration Type: Dentist License

License Number: 39969 Primary Status: Current - Active

Address :
1320 Monument Trail Dr
CHULA VISTA CA 91915-1584
SAN DIEGO COUNTY

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