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Licensing details for: 18311

Name: DOMBROW, DONALD R

License Type: Dentist

Primary Status: Cancelled

Secondary Status: Radiation Safety Certification issued by the Board

Address of Record

6071 DEERFORD ROW
SAN DIEGO CA 92037
SAN DIEGO county
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Issuance Date

January 1, 1965

Expiration Date

December 31, 2012

Current Date / Time

June 7, 2025
2:19:0 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: DONALD ROMAN DOMBROW, DDS

License/Registration Type: Additional Office Permit

License Number: 7088 Primary Status: Cancelled

Address :
8590 RIO SAN DIEGO DRIVE, #110
SAN DIEGO CA 92108
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SANTEE COTTONWOOD DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2364 Primary Status: Cancelled

Address :
DRS. KAMALI-TAHA, KASHANI & DOMBROW
9715 MISSION GORGE ROAD
SANTEE CA 92071
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: STADIUM DENTAL CARE

License/Registration Type: Fictitious Name Permit

License Number: 2813 Primary Status: Cancelled

Address :
8590 RIO SAN DIEGO DRIVE #110
SAN DIEGO CA 92108
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SANTEE COTTONWOOD DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3525 Primary Status: Cancelled

Address :
9715 MISSION GORGE RD
SANTEE CA 92071
SAN DIEGO COUNTY

Map

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: SANTEE COTTONWOOD DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2364 Primary Status: Cancelled

Address :
DRS. KAMALI-TAHA, KASHANI & DOMBROW
9715 MISSION GORGE ROAD
SANTEE CA 92071
SAN DIEGO COUNTY

Map

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: SANTEE COTTONWOOD DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3525 Primary Status: Cancelled

Address :
9715 MISSION GORGE RD
SANTEE CA 92071
SAN DIEGO COUNTY

Map

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: STADIUM DENTAL CARE

License/Registration Type: Fictitious Name Permit

License Number: 2813 Primary Status: Cancelled

Address :
8590 RIO SAN DIEGO DRIVE #110
SAN DIEGO CA 92108
SAN DIEGO COUNTY

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New License to Old License

License/Registration Role: Old Dentist License

Related Party Role: New Dentist License

Name: KASHANI, KOUROSH ARYANPUR

License/Registration Type: Dentist License

License Number: 44494 Primary Status: Current - Active

Address :
6585 EL CAJON BLVD
SAN DIEGO CA 92115
SAN DIEGO COUNTY

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New License to Old License

License/Registration Role: Old Dentist License

Related Party Role: New Dentist License

Name: KAMALI TAHA, ARASH

License/Registration Type: Dentist License

License Number: 43175 Primary Status: Current - Active

Address :
1553 CALLE CANDELA
LA JOLLA CA 92037
SAN DIEGO COUNTY

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