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Licensing details for: 9369

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

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

1717 FREEMONT BOULEVARD
SEASIDE CA 93955
MONTEREY county
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Practice Location

1717 FREEMONT BOULEVARD
SEASIDE CA 93955
MONTEREY county
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Issuance Date

May 24, 2011

Expiration Date

October 31, 2019

Current Date / Time

June 7, 2025
4:21:8 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CHIANG, PETER C J

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: CHIANG, PETER C J

License/Registration Type: Dentist License

License Number: 37400 Primary Status: Current - Active

Address :
631 E ALVIN DRIVE
SUITE E-2
SALINAS CA 93906
MONTEREY COUNTY

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