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Licensing details for: 55225

Name: AHWAL, WADIE NABIH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

8881 Fletcher Pkwy
STE 265
LA MESA CA 91942-3134
SAN DIEGO county
Map

Issuance Date

November 9, 2006

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
3:20:2 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PARKWAY DENTAL GROUP, WADIE AHWAL, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 10034 Primary Status: Current - Active

Address :
8881 FLETCHER PARKWAY, STE. 265
LA MESA CA 91942
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: PARKWAY DENTAL GROUP, WADIE AHWAL, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 10034 Primary Status: Current - Active

Address :
8881 FLETCHER PARKWAY, STE. 265
LA MESA CA 91942
SAN DIEGO COUNTY

Map

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