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Licensing details for: 106753

Name: MOBASSERI, TINA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

15640 Caldas De Reyes
SAN DIEGO CA 92128-4414
SAN DIEGO county
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Practice Location

3019 Emerson St
SAN DIEGO CA 92106-2603
SAN DIEGO county
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Issuance Date

July 30, 2021

Expiration Date

August 31, 2028

Current Date / Time

November 9, 2026
4:07:03 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: Point Loma Comprehensive Dental Practice

License/Registration Type: Fictitious Name Permit

License Number: 19927 Primary Status: Current - Active

Address :
3019 Emerson St
SAN DIEGO CA 92106-2603

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