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Licensing details for: 1218

Name: VAKILI, AZITA

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Previous Names: VAKILI-M, AZITA

Address of Record

652 Stevens Ave
SOLANA BEACH CA 92075-2422
SAN DIEGO county
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Issuance Date

May 30, 2007

Expiration Date

March 31, 2027

Current Date / Time

December 13, 2025
9:49:3 AM

License Relationships

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: VAKILI, AZITA

License/Registration Type: Dentist License

License Number: 36443 Primary Status: Current - Active

Address :
652 Stevens Ave
SOLANA BEACH CA 92075-2422
SAN DIEGO COUNTY

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