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Licensing details for: 8438

Name: CENTRAL COAST PEDIATRIC DENTAL GROUP, DRS. SANGER, CHIANG, MORRIS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

1717 FREMONT BOULEVARD
SEASIDE CA 93955
MONTEREY county
Map

Practice Location

1717 FREMONT BOULEVARD
SEASIDE CA 93955
MONTEREY county
Map

Issuance Date

October 1, 2009

Expiration Date

May 31, 2013

Current Date / Time

December 13, 2025
9:15:7 PM

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: SANGER, ROGER GREGORY

License/Registration Type: Dentist License

License Number: 21200 Primary Status: Cancelled

Address Not Disclosed

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