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Licensing details for: 62900

Name: PATEL, RACHANA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

15702 Potomac Ridge Rd
SAN DIEGO CA 92127-3663
SAN DIEGO county
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Issuance Date

August 28, 2013

Expiration Date

December 31, 2026

Current Date / Time

June 7, 2025
1:0:59 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: PATEL AND HABASHI DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81286 Primary Status: Current - Active

Address :
3737 MURPHY CANYON RD SUITE C-2
SAN DIEGO CA 92123
SAN DIEGO 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: PATEL AND HABASHI DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80086 Primary Status: Cancelled

Address :
3737 MURPHY CANYON ROAD, SUITE C-2
SAN DIEGO CA 92123
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: STONECREST DENTAL GROUP PATEL AND HABASHI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15019 Primary Status: Cancelled

Address :
3737 MURPHY CANYON ROAD, SUITE C-2
SAN DIEGO CA 92123
SAN DIEGO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: STONECREST DENTAL GROUP, PATEL AND HABASHI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17342 Primary Status: Current - Active

Address :
3737 MURPHY CANYON RD SUITE C-2
SAN DIEGO CA 92123
SAN DIEGO 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: STONECREST DENTAL GROUP PATEL AND HABASHI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15019 Primary Status: Cancelled

Address :
3737 MURPHY CANYON ROAD, SUITE C-2
SAN DIEGO CA 92123
SAN DIEGO 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: STONECREST DENTAL GROUP, PATEL AND HABASHI DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17342 Primary Status: Current - Active

Address :
3737 MURPHY CANYON RD SUITE C-2
SAN DIEGO CA 92123
SAN DIEGO COUNTY

Map

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