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Licensing details for: 9340

Name: GENTLE DENTAL CHULA VISTA SPECIALTY CARE - A DENTAL OFFICE OF COX

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

301 THIRD AVENUE
CHULA VISTA CA 91910
SAN DIEGO county
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Practice Location

301 THIRD AVENUE
CHULA VISTA CA 91910
SAN DIEGO county
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Issuance Date

May 24, 2011

Expiration Date

August 31, 2018

Current Date / Time

June 6, 2025
10:58:49 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: COX, WILLIAM JOSEPH

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: COX, WILLIAM JOSEPH

License/Registration Type: Dentist License

License Number: 26160 Primary Status: Current - Active

Address :
4950 BARRANCA PKWY #105
IRVINE CA 92604
ORANGE COUNTY

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