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Licensing details for: 42597

Name: RASTEGAR, FARHOUD

License Type: Dentist

Primary Status: Current - Active

Address of Record

1450 Frazee Rd
SUITE 209
SAN DIEGO CA 92108-4337
SAN DIEGO county
Map

Issuance Date

April 24, 1995

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
5:45:24 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PALM DENTAL, FARHOUD RASTEGAR, DDS, DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 4426 Primary Status: Cancelled

Address :
3320 PALM AVE, STE B
SAN DIEGO CA 92154
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: PALM DENTAL, FARHOUD RASTEGAR, DDS, DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 4426 Primary Status: Cancelled

Address :
3320 PALM AVE, STE B
SAN DIEGO CA 92154
SAN DIEGO COUNTY

Map

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