License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Conscious Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: GHASSEMI-AVAL, ALI REZA
License/Registration Type: Dentist License
License Number: 40595 Primary Status: Current - Active
Address :
450 A St
STE 200
SAN DIEGO CA 92101-4274
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FIFTH AVENUE DENTAL ARTS, DENTAL PRACTICE OF R. GHASSEMI DDS MS
License/Registration Type: Fictitious Name Permit
License Number: 14881 Primary Status: Current - Active
Address :
450 A STREET, SUITE 200
SAN DIEGO CA 92101
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FIFTH AVENUE DENTAL ARTS, DENTAL PRACTICE OF R. GHASSEMI DDS MS
License/Registration Type: Fictitious Name Permit
License Number: 16670 Primary Status: Expired
Address :
450 A STREET., SUITE 300
SAN DIEGO CA 92101
SAN DIEGO COUNTY
