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Licensing details for: 4311

Name: FARHOUMAND, BITA AMANDA

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

2487 WELLSPRING ST
CARLSBAD CA 92010
SAN DIEGO county
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Practice Location

13859 Carmel Valley Rd
suite d
SAN DIEGO CA 92130-5665
SAN DIEGO county
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13983 Mango Dr
201
DEL MAR CA 92014-3131
SAN DIEGO county
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3570 4th Ave
SAN DIEGO CA 92103-4940
SAN DIEGO county
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477 N EL CAMINO REAL STE B207
ENCINITAS CA 92024
SAN DIEGO county
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740 Garden View Ct
#215
ENCINITAS CA 92024-2474
SAN DIEGO county
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8430 Lemon Ave
LA MESA CA 91941-5310
SAN DIEGO county
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Issuance Date

January 10, 2023

Expiration Date

July 31, 2027

Current Date / Time

June 6, 2025
9:55:55 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: FARHOUMAND, BITA AMANDA

License/Registration Type: Dentist License

License Number: 61201 Primary Status: Current - Active

Address :
13859 Carmel Valley Rd
ste d
SAN DIEGO CA 92130-5665
SAN DIEGO COUNTY

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