Dental Board of California
Licensing details for: 61201
Name: FARHOUMAND, BITA AMANDA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
740 Garden View Ct
suite 215
ENCINITAS CA 92024-2474
SAN DIEGO county
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Contract Location
3900 5th Ave
suite 270
SAN DIEGO CA 92103-3121
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Practice Location
13859 Carmel Valley Rd
ste d
SAN DIEGO CA 92130-5665
SAN DIEGO county
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13983 Mango Dr
suite 201
DEL MAR CA 92014
SAN DIEGO county
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3570 4th Ave
SAN DIEGO CA 92103-4940
SAN DIEGO county
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477 N El Camino Real
B207
ENCINITAS CA 92024-1328
SAN DIEGO county
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8430 Lemon Ave
LA MESA CA 91941-5310
SAN DIEGO county
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License Relationships
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: FARHOUMAND, BITA AMANDA
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4311 Primary Status: Current - Active
Address :
13859 Carmel Valley Rd
suite d
SAN DIEGO CA 92130-5665
SAN DIEGO COUNTY
