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Licensing details for: 100023

Name: ALPATTY, WASEEM QARYAQOS

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

10948 Fury Ln
LA MESA CA 91941-7320
SAN DIEGO county
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Issuance Date

January 29, 2016

Expiration Date

November 30, 2026

Current Date / Time

June 7, 2025
2:31:29 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: EL CAJON DENTISTRY DENTAL PRACTICE OF ALPATTY DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18227 Primary Status: Current - Active

Address :
321 E. MAIN ST
EL CAJON CA 92020-3913
SAN DIEGO COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: EL CAJON DENTISTRY DENTAL PRACTICE OF ALPATTY DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18227 Primary Status: Current - Active

Address :
321 E. MAIN ST
EL CAJON CA 92020-3913
SAN DIEGO COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: ALPATTY, WASEEM QARYAQOS

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 4307 Primary Status: Current - Active

Address :
321 E. MAIN STREET
EL CAJON CA 92020
SAN DIEGO COUNTY

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