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Licensing details for: 52865

Name: HOSSEINI, AZADEH

License Type: Dentist

Primary Status: Current - Active

Address of Record

1500 Tara Hills DR
104
PINOLE CA 94564
CONTRA COSTA county
Map

Practice Location

1500 Tara Hills Dr
ste 104
PINOLE CA 94564-2577
CONTRA COSTA county
Map

Issuance Date

April 22, 2005

Expiration Date

November 30, 2026

Current Date / Time

June 6, 2025
11:15:35 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TOP PINOLE DENTAL PRACTICE OF AZADEH HOSSEINI DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 18720 Primary Status: Current - Active

Address :
1500 TARA HILLS DRIVE STE 104
PINOLE CA 94564
CONTRA COSTA 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: TOP PINOLE DENTAL PRACTICE OF AZADEH HOSSEINI DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 18720 Primary Status: Current - Active

Address :
1500 TARA HILLS DRIVE STE 104
PINOLE CA 94564
CONTRA COSTA COUNTY

Map

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