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Licensing details for: 6078

Name: ALI REZA GHASSEMI-AVAL

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

12750 CARMEL COUNTRY ROAD
SUITE 213
SAN DIEGO CA 92130
SAN DIEGO county
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Issuance Date

October 28, 1998

Expiration Date

September 30, 2020

Current Date / Time

June 6, 2025
2:26:13 AM

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: GHASSEMI-AVAL, ALI REZA

License/Registration Type: Dentist License

License Number: 40595 Primary Status: Current - Active

Address :
450 A St
STE 200
SAN DIEGO CA 92101-4274
SAN DIEGO COUNTY

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