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Licensing details for: 106067

Name: JAVIDI, BABAK

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: JAVIDI DASHT BAYAZI, BABAK

Address of Record

12125 Alta Carmel Ct
Suit 310
SAN DIEGO CA 92128-3893
SAN DIEGO county
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Issuance Date

March 17, 2021

Expiration Date

April 30, 2027

Current Date / Time

December 17, 2025
7:24:34 PM

License Relationships

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: ELEGANT PEDIATRIC DENTISTRY AND ORTHODONTICS A DENTAL PRACTICE OF BABAK JAVIDI, DMD, INC

License/Registration Type: Fictitious Name Permit

License Number: 17764 Primary Status: Current - Active

Address :
12125 ALTA CARMEL COURT, SUITE 310
SAN DIEGO CA 92128-3893
SAN DIEGO COUNTY

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