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Licensing details for: 3959

Name: MOJAVER, MAHNAZ NINA

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

450 A STREET STE 200
SAN DIEGO CA 92101
SAN DIEGO county
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Practice Location

450 A STREET
ste 300
SAN DIEGO CA 92101
SAN DIEGO county
Map

450 A STREET STE 200
SAN DIEGO CA 92101
SAN DIEGO county
Map

Issuance Date

November 25, 2019

Expiration Date

December 31, 2026

Current Date / Time

June 7, 2025
4:44:54 AM

License Relationships

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

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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: MOJAVER, MAHNAZ NINA

License/Registration Type: Dentist License

License Number: 40681 Primary Status: Current - Active

Address :
450 A Street Ste 200
SAN DIEGO CA 92101
SAN DIEGO COUNTY

Map

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