Dental Board of California
Licensing details for: 64850
Name: HEJAZI, ALI
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
3408 College Ave
SAN DIEGO CA 92115
SAN DIEGO county
Map
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: HEJAZI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79599 Primary Status: Current - Active
Address :
3408 COLLEGE AVE
SAN DIEGO CA 92115
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: COLLEGE GROVE DENTISTRY DENTAL GROUP, HEJAZI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14069 Primary Status: Current - Active
Address :
3408 COLLEGE AVE
SAN DIEGO CA 92115
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: COLLEGE GROVE DENTISTRY DENTAL GROUP, HEJAZI DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 14069 Primary Status: Current - Active
Address :
3408 COLLEGE AVE
SAN DIEGO CA 92115
SAN DIEGO COUNTY
