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Licensing details for: 65160

Name: KAMIL, SHAYMAA A

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: KAMIL, SHAYMAA ADEL

Address of Record

9870 CARROLL CANYON RD STE 115
SAN DIEGO CA 92131
SAN DIEGO county
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Issuance Date

September 21, 2015

Expiration Date

March 31, 2027

Current Date / Time

December 16, 2025
4:36:40 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: KAMIL AND ARIANNEJAD DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 81262 Primary Status: Current - Active

Address :
9870 CARROLL CANYON ROAD, SUITE 115
SAN DIEGO CA 92131
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: CARROLL CANYON DENTAL GROUP, KAMIL AND ARIANNEJAD DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 17275 Primary Status: Current - Active

Address :
9870 CARROLL CANYON ROAD, SUITE 115
SAN DIEGO CA 92131
SAN DIEGO COUNTY

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