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Licensing details for: 80008

Name: PANAH, A., D.D.S. A PROFESSIONAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

326 S MELROSE DR STE 101
VISTA CA 92081
SAN DIEGO county
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Practice Location

326 S MELROSE DR STE 101
VISTA CA 92081
SAN DIEGO county
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Issuance Date

March 11, 2019

Expiration Date

January 31, 2027

Current Date / Time

April 4, 2026
2:18:33 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: RASTEGAR-PANAH, ARASH

License/Registration Type: Dentist License

License Number: 48000 Primary Status: Current - Active

Address :
1836 6TH STREET
MANHATTAN BEACH CA 90266
LOS ANGELES COUNTY

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