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Licensing details for: 105233

Name: TARAPOREWALLA, RISHAAD ROHINTON

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Residency

Address of Record

4585 College Ave
Ste B
SAN DIEGO CA 92115
SAN DIEGO county
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Issuance Date

August 13, 2020

Expiration Date

September 30, 2027

Current Date / Time

April 4, 2026
1:40:40 AM

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: TARAPOREWALLA DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81444 Primary Status: Cancelled

Address :
4585 COLLEGE AVE SUITE B
SAN DIEGO CA 92115
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: College Avenue Dentistry Dental Group of College Avenue Dentistry, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20188 Primary Status: Current - Active

Address :
4585 College Ave., Suite B
SAN DIEGO CA 92115

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