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Licensing details for: 6173

Name: EDWARD FARAJZADEH, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

28999 FRONT STREET
SUITE 208
TEMECULA CA 92591
RIVERSIDE county
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Issuance Date

April 28, 1999

Expiration Date

September 30, 2001

Current Date / Time

June 6, 2025
2:28:48 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: 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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