Dental Board of California
Licensing details for: 101304
Name: AKBARI FARAHANI, ANAHITA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: AKBARI FARAHANI AND MERCER DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 80805 Primary Status: Cancelled
Address :
2710 VIA DE LA VELLE, SUITE B250
DEL MAR CA 92014
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PROMENADE DENTISTS DENTAL GROUP, AKBARI FARAHANI AND MERCER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16157 Primary Status: Cancelled
Address :
2710 VIA DE LA VALLE., SUITE B250
DEL MAR CA 92014
SAN DIEGO COUNTY
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: PROMENADE DENTISTS DENTAL GROUP, AKBARI FARAHANI AND MERCER DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 16157 Primary Status: Cancelled
Address :
2710 VIA DE LA VALLE., SUITE B250
DEL MAR CA 92014
SAN DIEGO COUNTY
