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Licensing details for: 977

Name: CITY DENTAL CENTER

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: CITY DENTAL CENTER DENTAL PRACTICE OF DR TAUB

Address of Record

DENTAL PRACTICE OF DR TAUB
936 HIGHLAND AVENUE
NATIONAL CITY CA 91950
SAN DIEGO county
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Issuance Date

September 19, 1994

Expiration Date

June 30, 2005

Current Date / Time

June 6, 2025
1:24:23 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PADDIE, LYNN ALAN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: CAMHI, ROBERT ALLEN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: JONES, DARRYL EDMOND

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TAUB, ERNEST D

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: TAUB, ERNEST D

License/Registration Type: Dentist License

License Number: 9516 Primary Status: Cancelled

Address :
135 CIVIC CENTER DR STE 102
NATIONAL CITY CA 91950
SAN DIEGO COUNTY

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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: PADDIE, LYNN ALAN

License/Registration Type: Dentist License

License Number: 25609 Primary Status: Cancelled

Address :
3212 CASA BONITA DRIVE
BONITA CA 91902
SAN DIEGO COUNTY

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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: CAMHI, ROBERT ALLEN

License/Registration Type: Dentist License

License Number: 30746 Primary Status: Current - Active

Address :
340 Roderick Ln
GREENVILLE SC 29605-6172
GREENVILLE COUNTY

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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: JONES, DARRYL EDMOND

License/Registration Type: Dentist License

License Number: 21318 Primary Status: Cancelled

Address :
3156 CASA BLANCA COURT
BONITA CA 91902
SAN DIEGO COUNTY

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