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Licensing details for: 106226

Name: ZAVERDINOS, MICAELA KOULA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

1273 LAS FLORES DR
CARLSBAD CA 92008-1030
SAN DIEGO county
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Practice Location

1273 LAS FLORES DR
CARLSBAD CA 92008-1030
SAN DIEGO county
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359 W Madison Ave
STE 200
EL CAJON CA 92020-3455
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Issuance Date

June 11, 2021

Expiration Date

February 29, 2028

Current Date / Time

December 15, 2025
12:40:18 PM

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: RON C. ABARO DENTAL CORP.

License/Registration Type: Additional Office Permit

License Number: 81064 Primary Status: Current - Active

Address :
359 W. MADISON AVE
EL CAJON CA 92020
SAN DIEGO COUNTY

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