Dental Board of California
Licensing details for: 40595
Name: GHASSEMI-AVAL, ALI REZA
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Public Reprimand
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: ALI REZA GHASSEMI-AVAL
License/Registration Type: Additional Office Permit
License Number: 6078 Primary Status: Expired
Address :
12750 CARMEL COUNTRY ROAD
SUITE 213
SAN DIEGO CA 92130
SAN DIEGO COUNTY
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: GHASSEMI-AVAL, ALI REZA
License/Registration Type: Conscious Sedation Permit
License Number: 1177 Primary Status: Cancelled
Address :
450 A ST
SAN DIEGO CA 92101
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FIFTH AVENUE DENTAL ARTS, DENTAL PRACTICE OF R. GHASSEMI DDS MS
License/Registration Type: Fictitious Name Permit
License Number: 16670 Primary Status: Expired
Address :
450 A STREET., SUITE 300
SAN DIEGO CA 92101
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FIFTH AVENUE DENTAL ARTS, DENTAL PRACTICE OF R. GHASSEMI DDS MS
License/Registration Type: Fictitious Name Permit
License Number: 14881 Primary Status: Current - Active
Address :
450 A STREET, SUITE 200
SAN DIEGO CA 92101
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: POWAY DENTAL ARTS, DENTAL PRACTICE OF M. NINA MOJAVER, DMD, A DEN
License/Registration Type: Fictitious Name Permit
License Number: 8908 Primary Status: Cancelled
Address :
15835 POMERADO RD.
STE. 101
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: FIFTH AVENUE DENTAL ARTS, DENTAL PRACTICE OF R. GHASSEMI DDS MS
License/Registration Type: Fictitious Name Permit
License Number: 14881 Primary Status: Current - Active
Address :
450 A STREET, SUITE 200
SAN DIEGO CA 92101
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: FIFTH AVENUE DENTAL ARTS, DENTAL PRACTICE OF R. GHASSEMI, DDS, MS
License/Registration Type: Fictitious Name Permit
License Number: 8910 Primary Status: Cancelled
Address :
450 A STREET
STE. 200
SAN DIEGO CA 92101
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: DEL MAR DENTAL ARTS, DENTAL PRACTICE OF GHASSEMI, DDS, MS, PROF.
License/Registration Type: Fictitious Name Permit
License Number: 8909 Primary Status: Cancelled
Address :
12750 CARMEL COUNTRY RD.
STE. 213
SAN DIEGO CA 92130
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: FIFTH AVENUE DENTAL ARTS, DENTAL PRACTICE OF R. GHASSEMI DDS MS
License/Registration Type: Fictitious Name Permit
License Number: 16670 Primary Status: Expired
Address :
450 A STREET., SUITE 300
SAN DIEGO CA 92101
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: GHASSEMI-AVAL, ALI REZA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4138 Primary Status: Current - Active
Address :
450 A St Ste 300
SAN DIEGO CA 92101-4217
SAN DIEGO COUNTY
