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Licensing details for: 50700

Name: SADAT, HANGAMA KAZEM

License Type: Dentist

Primary Status: Current - Active

Previous Names: KAZEM, HANGAMA S

Address of Record

3268 Greyling Dr
SAN DIEGO CA 92123-2230
SAN DIEGO county
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Practice Location

3268 Greyling Dr
SAN DIEGO CA 92123-2230
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Issuance Date

December 23, 2002

Expiration Date

August 31, 2028

Current Date / Time

June 13, 2026
6:33:45 PM

License Relationships

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: HKS DENTAL PRACTICE OF HANGAMA KAZEM SADAT, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 17111 Primary Status: Current - Active

Address :
333 H STREET SUITE 1015
CHULA VISTA CA 91910
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: SPECTRUM DENTAL OFFICE, HANGAMA KAZEM SADAT, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 5572 Primary Status: Cancelled

Address :
5375 KEARNY VILLA RD, STE 103
SAN DIEGO CA 92123
SAN DIEGO COUNTY

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