Dental Board of California
Licensing details for: 56898
Name: YAVARI, MANSOUREH
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
11435 Cypress Canyon Park Dr
SAN DIEGO CA 92131-3520
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NEXGEN DENTISTRY DENTAL PRACTICE OF M YAVARI. DDS
License/Registration Type: Fictitious Name Permit
License Number: 15800 Primary Status: Current - Active
Address :
909 EUCLID AVE
NATIONAL CITY CA 91950
SAN DIEGO COUNTY
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: NEXGEN DENTISTRY DENTAL PRACTICE OF M YAVARI. DDS
License/Registration Type: Fictitious Name Permit
License Number: 15800 Primary Status: Current - Active
Address :
909 EUCLID AVE
NATIONAL CITY CA 91950
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: YAVARI, MANSOUREH
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2508 Primary Status: Cancelled
Address :
11435 Cypress Canyon Park Dr
SAN DIEGO CA 92131-3520
SAN DIEGO COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: YAVARI, MANSOUREH
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 36 Primary Status: Expired
Address :
909 EUCLID AVE
NATIONAL CITY CA 91950
SAN DIEGO COUNTY
