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Licensing details for: 2952

Name: SALAMI, PEGAH SADEGHOLVAD

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Previous Names: SADEGHOLVAD, PEGAH

Address of Record

12396 WORLD TRADE DRIVE
STE. 208
SAN DIEGO CA 92128
SAN DIEGO county
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Issuance Date

May 13, 2013

Expiration Date

April 30, 2024

Current Date / Time

June 6, 2025
11:33:42 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SERENITY DENTAL SPA, DENTAL PRACTICE OF PEGAH S. SALAMI, DMD, INC

License/Registration Type: Fictitious Name Permit

License Number: 7503 Primary Status: Cancelled

Address :
12396 WORLD TRADE DRIVE
STE. 208
SAN DIEGO CA 92128
SAN DIEGO COUNTY

Map

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: SALAMI, PEGAH SADEGHOLVAD

License/Registration Type: Dentist License

License Number: 48543 Primary Status: Current - Active

Address :
12396 World Trade Dr
STE 208
SAN DIEGO CA 92128-3786
SAN DIEGO COUNTY

Map

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