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Licensing details for: 8786

Name: DENTAL DESIGN SD, DENTAL OFFICE OF KATHRINA AGATEP, DDS, PROF. CO

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: DENTAL DESIGN SD, DENTAL OFFICE OF K. AGATEP D.D.S

Address of Record

9450 SCRANTON ROAD
STE. 110
SAN DIEGO CA 92121
SAN DIEGO county
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Issuance Date

June 29, 2010

Expiration Date

March 31, 2014

Current Date / Time

December 13, 2025
7:56:3 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: AGATEP, KATHRINA LEGASPI

License/Registration Type: Dentist License

License Number: 51540 Primary Status: Current - Active

Address :
5531 Cancha De Golf
102
RANCHO SANTA FE CA 92091-4624
SAN DIEGO COUNTY

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