Dental Board of California
Licensing details for: 36443
Name: VAKILI, AZITA
License Type: Dentist
Primary Status: Current - Active
Previous Names: VAKILI-M, AZITA
Address of Record
652 Stevens Ave
SOLANA BEACH CA 92075-2422
SAN DIEGO county
Map
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: AZITA VAKILI, DMD, A DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 10572 Primary Status: Current - Active
Address :
15725 POMERADO RD. #200
POWAY CA 92064
SAN DIEGO COUNTY
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: GATEWAY SMILES & IMPLANT CENTER, DENTAL PRACTICE OF AZITA VAKILI,
License/Registration Type: Fictitious Name Permit
License Number: 10058 Primary Status: Current - Active
Address :
1575 POMERADO ROAD #200
POWAY CA 92064
SAN DIEGO COUNTY
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: SOLANA SMILES, DENTAL PRACTICE OF AZITA VAKILI, DMD, A DENTAL COR
License/Registration Type: Fictitious Name Permit
License Number: 10064 Primary Status: Expired
Address :
530 LOMAS SANTA FE DRIVE #3
SOLANA BEACH CA 92075
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: VAKILI, AZITA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1218 Primary Status: Current - Active
Address :
652 Stevens Ave
SOLANA BEACH CA 92075-2422
SAN DIEGO COUNTY
