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Licensing details for: 51186

Name: SHARIATI, MANSOUR

License Type: Dentist

Primary Status: Deceased

Address of Record

16756 SANTA CORINA CT
SAN DIEGO CA 92127
SAN DIEGO county
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Issuance Date

July 15, 2003

Expiration Date

December 31, 2009

Current Date / Time

June 7, 2025
4:10:23 AM

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: SHARIATI DENTAL CORP.

License/Registration Type: Additional Office Permit

License Number: 9667 Primary Status: Cancelled

Address :
27947 SLOAN CANYON RD.
CASTAIC CA 91384
LOS ANGELES COUNTY

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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: BAKER, SHARIATI & FARAJZADEH, A PROFESSIONAL DENTAL

License/Registration Type: Additional Office Permit

License Number: 8333 Primary Status: Cancelled

Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92591
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: RANCHO CALIFORNIA DENTAL GROUP, BAKER, SHARIATI &

License/Registration Type: Fictitious Name Permit

License Number: 5107 Primary Status: Cancelled

Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92390
RIVERSIDE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: QUALITY FAMILY DENTAL AND COSMETIC CARE DENTAL OFFICE OF M. SHARI

License/Registration Type: Fictitious Name Permit

License Number: 7040 Primary Status: Cancelled

Address :
38605 CALISTOGA DR
STE C3-100
MURRIETA CA 92563
RIVERSIDE 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: RANCHO CALIFORNIA DENTAL GROUP, BAKER, SHARIATI &

License/Registration Type: Fictitious Name Permit

License Number: 5107 Primary Status: Cancelled

Address :
29645 RANCHO CALIFORNIA RD
STE 237
TEMECULA CA 92390
RIVERSIDE 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: QUALITY FAMILY DENTAL AND COSMETIC CARE DENTAL OFFICE OF M. SHARI

License/Registration Type: Fictitious Name Permit

License Number: 7040 Primary Status: Cancelled

Address :
38605 CALISTOGA DR
STE C3-100
MURRIETA CA 92563
RIVERSIDE COUNTY

Map

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