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: MEHMOOD FATEMALI MANJI, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 7525 Primary Status: Cancelled
Address :
6963 BROADWAY
LEMON GROVE CA 91945
SAN DIEGO COUNTY
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: MEHMOOD MANJI, DDS
License/Registration Type: Additional Office Permit
License Number: 7199 Primary Status: Cancelled
Address :
985 S SANTA FE AVENUE, STE 5
VISTA CA 92083
SAN DIEGO COUNTY
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: MEHMOOD FATEHALI MANJI, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 8072 Primary Status: Cancelled
Address :
985 BROADWAY, STE E
CHULA VISTA CA 91911
SAN DIEGO COUNTY
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: MEHMOOD F MANJI, DDS
License/Registration Type: Additional Office Permit
License Number: 7599 Primary Status: Cancelled
Address :
10645 B TIERRASANTA BLVD
SAN DIEGO CA 92124
SAN DIEGO COUNTY
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: MANJI AND MENDIVIL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 7690 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD, STE A & B
SAN DIEGO CA 92124
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: GOOD HOPE DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 2796 Primary Status: Cancelled
Address :
985 S SANTA FE SUITE 5
VISTA CA 92083
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: BROADWAY DENTAL GROUP OF MEHMOOD FATEHALI MANJI, DDS, INC
License/Registration Type: Fictitious Name Permit
License Number: 4487 Primary Status: Cancelled
Address :
985 BROADWAY, STE E
CHULA VISTA CA 91911
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: TIERRASANTA FAMILY DENTAL GROUP OF MANJI AND
License/Registration Type: Fictitious Name Permit
License Number: 3726 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD
SAN DIEGO CA 92124
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: GROVE DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3042 Primary Status: Cancelled
Address :
6963 BROADWAY
LEMON GROVE CA 91945
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: TIERRASANTA FAMILY DENTAL GROUP OF MANJI AND MENDIVIL
License/Registration Type: Fictitious Name Permit
License Number: 3503 Primary Status: Cancelled
Address :
10645 B TIERRASANTA BLVD
SAN DIEGO CA 92124
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: TIERRASANTA SPECIALTY DENTAL GROUP OF MANJI AND MENDIVIL
License/Registration Type: Fictitious Name Permit
License Number: 4683 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD
STE'S A & B
SAN DIEGO CA 92124
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: GROVE DENTAL GROUP, MANJI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 5701 Primary Status: Cancelled
Address :
7733 PALM STREET, STE 105
LEMON GROVE CA 91946
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: VISTA FAMILY DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 2972 Primary Status: Cancelled
Address :
985 S SANTA FE SUITE 5
VISTA CA 92803
SAN DIEGO COUNTY
MDC to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Mobile Dental Clinic Permit
Name: MEHMOOD MANJI, DDS
License/Registration Type: Mobile Dental Clinic Permit
License Number: 4 Primary Status: Cancelled
Address :
985 S SANTA FE AVENUE, STE 5
VISTA CA 92083
SAN DIEGO COUNTY
