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Licensing details for: 79790

Name: OMEED TOMA, DDS

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

1901 4TH AVE, STE 300
SAN DIEGO CA 92101
SAN DIEGO county
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Practice Location

1901 4TH AVE, STE 300
SAN DIEGO CA 92101
SAN DIEGO county
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Issuance Date

August 30, 2018

Expiration Date

November 30, 2021

Current Date / Time

June 6, 2025
10:36:42 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: TOMA, OMEED BUTRUS

License/Registration Type: Dentist License

License Number: 48043 Primary Status: Current - Active

Address :
3530 Camino Del Rio N
109
SAN DIEGO CA 92108-1743
SAN DIEGO COUNTY

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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: EVANS-LOUKA, BRENDA

License/Registration Type: Dentist License

License Number: 34695 Primary Status: Current - Active

Address :
1276 E Washington Ave
EL CAJON CA 92019-3036

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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: PETROS, DHAFIR JALAL

License/Registration Type: Dentist License

License Number: 47154 Primary Status: Current - Active

Address :
3530 Camino Del Rio N
SUITE 109
SAN DIEGO CA 92108-1743
SAN DIEGO COUNTY

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