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Licensing details for: 8072

Name: MEHMOOD FATEHALI MANJI, DDS, INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

985 BROADWAY, STE E
CHULA VISTA CA 91911
SAN DIEGO county
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Issuance Date

September 8, 2003

Expiration Date

May 31, 2005

Current Date / Time

December 17, 2025
7:27:44 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: MANJI, MEHMOOD FATEHALI

License/Registration Type: Dentist License

License Number: 46109 Primary Status: Current - Active

Address :
467 College Blvd
Suite 2
OCEANSIDE CA 92057-5436

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