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Licensing details for: 46271

Name: KAJIAN-FARAJITABRIZI, MEHRACK

License Type: Dentist

Primary Status: Current - Active

Address of Record

P O BOX 9900
RANCHO SANTA FE CA 92067
SAN DIEGO county
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Issuance Date

August 5, 1999

Expiration Date

December 31, 2025

Current Date / Time

June 7, 2025
2:59:49 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LA JOLLA DENTAL GROUP, MEHRACK KAJIAN-FARAJI,

License/Registration Type: Fictitious Name Permit

License Number: 3969 Primary Status: Expired

Address :
8950 Villa La Jolla Dr Ste 1105
LA JOLLA CA 92037-1705
SAN DIEGO COUNTY

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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: LA JOLLA DENTAL GROUP, MEHRACK KAJIAN-FARAJI,

License/Registration Type: Fictitious Name Permit

License Number: 3969 Primary Status: Expired

Address :
8950 Villa La Jolla Dr Ste 1105
LA JOLLA CA 92037-1705
SAN DIEGO COUNTY

Map

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