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Licensing details for: 33031

Name: FARAJZADEH, EDWARD

License Type: Dentist

Primary Status: Current - Active

Previous Names: FARAJ ZADEH, EDWARD

Address of Record

13983 Mango Dr Ste 106
DEL MAR CA 92014-3146
SAN DIEGO county
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Practice Location

13983 Mango Dr
106
DEL MAR CA 92014-3131
SAN DIEGO county
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Issuance Date

October 25, 1984

Expiration Date

September 30, 2025

Current Date / Time

June 6, 2025
10:34:50 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: EDWARD FARAJZADEH, DDS

License/Registration Type: Additional Office Permit

License Number: 10613 Primary Status: Expired

Address :
3867 CLAIRMONT DR.
SAN DIEGO CA 92117
SAN DIEGO COUNTY

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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: EDWARD FARAJZADEH, DDS

License/Registration Type: Additional Office Permit

License Number: 6173 Primary Status: Cancelled

Address :
28999 FRONT STREET
SUITE 208
TEMECULA CA 92591
RIVERSIDE COUNTY

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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: EDWARD FARAJZADEH, D.D.S., A PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 79969 Primary Status: Expired

Address :
12921 POMERADO ROAD
POWAY CA 92064
SAN DIEGO COUNTY

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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: EDWARD FARAJZADEH, DDS

License/Registration Type: Additional Office Permit

License Number: 7222 Primary Status: Cancelled

Address :
13422 POMERADO ROAD, #201
POWAY CA 92064
SAN DIEGO COUNTY

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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: FARAJZADEH - BAKER, A PROFESSIONAL DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 7964 Primary Status: Cancelled

Address :
6794 LA JOLLA BLVD
LA JOLLA CA 92037
SAN DIEGO COUNTY

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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: BAKER, SHARIATI & FARAJZADEH, A PROFESSIONAL DENTAL

License/Registration Type: Additional Office Permit

License Number: 8333 Primary Status: Cancelled

Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92591
RIVERSIDE COUNTY

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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: BAKER & FARAJZADEH A PROF DENT CORP

License/Registration Type: Additional Office Permit

License Number: 5454 Primary Status: Cancelled

Address :
13983 MANGO DRIVE STE 104
DEL MAR CA 92014
SAN DIEGO COUNTY

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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: EDWARD FARAJZADEH, D.D.S., A PROFESSIONAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 79979 Primary Status: Expired

Address :
12921 POMERADO RD.
POWAY CA 92064
SAN DIEGO COUNTY

Map

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: EDWARD FARAJZADEH, DDS

License/Registration Type: Additional Office Permit

License Number: 8545 Primary Status: Cancelled

Address :
13422 POMERADO RD, STE 202
POWAY CA 92064
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DELMAR PROFESSIONAL DENTAL GROUP_BRUCE B BAKER EDWARD FARAJZADEH

License/Registration Type: Fictitious Name Permit

License Number: 597 Primary Status: Cancelled

Address :
13983 MANGO DRIVE
SUITE 104
DEL MAR CA 92014
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: A PRIVATE DENTAL GROUP, FARAJZADEH & BAKER

License/Registration Type: Fictitious Name Permit

License Number: 4335 Primary Status: Cancelled

Address :
6794 LA JOLLA BLVD
LA JOLLA CA 92037
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: A POWAY DENTAL GROUP, FARAJZADEH & BAKER, A PROF DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 912 Primary Status: Cancelled

Address :
13422 POMERADO ROAD
POWAY CA 92064
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CALIFORNIA DENTAL CARE

License/Registration Type: Fictitious Name Permit

License Number: 2403 Primary Status: Cancelled

Address :
PRACTICE OF SARAH ZIRAKZADEH, DDS
28999 FRONT STREET, SUITE 208
TEMECULA CA 92590
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: RANCHO CALIFORNIA DENTAL GROUP, BAKER, SHARIATI &

License/Registration Type: Fictitious Name Permit

License Number: 5107 Primary Status: Cancelled

Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92390
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DELMAR PROFESSIONAL DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2849 Primary Status: Expired

Address :
13983 MANGO DRIVE #104
DEL MAR CA 92014
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CLAIRMONT DENTAL OFFICE, EDWARD FARAJZADEH, DDS

License/Registration Type: Fictitious Name Permit

License Number: 9700 Primary Status: Cancelled

Address :
3867 CLAIRMONT DRIVE
SAN DIEGO CA 92117
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: A PRIVATE DENTAL GROUP, FARAJZADEH & BAKER

License/Registration Type: Fictitious Name Permit

License Number: 4335 Primary Status: Cancelled

Address :
6794 LA JOLLA BLVD
LA JOLLA CA 92037
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: CALIFORNIA DENTAL CARE

License/Registration Type: Fictitious Name Permit

License Number: 2403 Primary Status: Cancelled

Address :
PRACTICE OF SARAH ZIRAKZADEH, DDS
28999 FRONT STREET, SUITE 208
TEMECULA CA 92590
RIVERSIDE 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: DELMAR PROFESSIONAL DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2849 Primary Status: Expired

Address :
13983 MANGO DRIVE #104
DEL MAR CA 92014
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: CLAIRMONT DENTAL OFFICE, EDWARD FARAJZADEH, DDS

License/Registration Type: Fictitious Name Permit

License Number: 9700 Primary Status: Cancelled

Address :
3867 CLAIRMONT DRIVE
SAN DIEGO CA 92117
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: RANCHO CALIFORNIA DENTAL GROUP, BAKER, SHARIATI &

License/Registration Type: Fictitious Name Permit

License Number: 5107 Primary Status: Cancelled

Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92390
RIVERSIDE 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: DELMAR PROFESSIONAL DENTAL GROUP_BRUCE B BAKER EDWARD FARAJZADEH

License/Registration Type: Fictitious Name Permit

License Number: 597 Primary Status: Cancelled

Address :
13983 MANGO DRIVE
SUITE 104
DEL MAR CA 92014
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: A POWAY DENTAL GROUP, FARAJZADEH & BAKER, A PROF DENTAL CORP

License/Registration Type: Fictitious Name Permit

License Number: 912 Primary Status: Cancelled

Address :
13422 POMERADO ROAD
POWAY CA 92064
SAN DIEGO COUNTY

Map

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