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Licensing details for: 1196

Name: SAFARIAN, SHAHIN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Address of Record

4765 CARMEL MOUNTAIN RD #203
SAN DIEGO CA 92130
SAN DIEGO county
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Issuance Date

May 9, 2007

Expiration Date

May 31, 2016

Current Date / Time

June 6, 2025
10:21:56 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NORTH COUNTY CENTER FOR COSMETIC DENTISTRY,

License/Registration Type: Fictitious Name Permit

License Number: 5396 Primary Status: Cancelled

Address :
3837 PLAZA DR, STE 805
OCEANSIDE CA 92056
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: IRRESISTIBLE SMILES DENTAL PRACTICE, S. SAFARIAN, DMD, INC.

License/Registration Type: Fictitious Name Permit

License Number: 9823 Primary Status: Cancelled

Address :
4765 CARMEL MOUNTAIN ROAD, STE. 203
SAN DIEGO CA 92130
SAN DIEGO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: IRRESISTIBLE SMILES DENTAL PRACTICE, S. SAFARIAN, DMD, INC

License/Registration Type: Fictitious Name Permit

License Number: 16171 Primary Status: Expired

Address :
1040 TIERRA DEL REY STE 211
CHULA VISTA CA 91910-7865

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: SAFARIAN, SHAHIN

License/Registration Type: Dentist License

License Number: 49204 Primary Status: Current - Active

Address :
11858 Bernardo Plaza Court
Suite 270
SAN DIEGO CA 92128
SAN DIEGO COUNTY

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