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Licensing details for: 10613

Name: EDWARD FARAJZADEH, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Sole Owner

Previous Names: FARAJZADEH, EDWARD

Address of Record

3867 CLAIRMONT DR.
SAN DIEGO CA 92117
SAN DIEGO county
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Issuance Date

November 17, 2011

Expiration Date

September 30, 2021

Current Date / Time

December 13, 2025
11:48:56 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: FARAJZADEH, EDWARD

License/Registration Type: Dentist License

License Number: 33031 Primary Status: Current - Active

Address :
13983 Mango Dr
106
DEL MAR CA 92014-3131
SAN DIEGO COUNTY

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