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Licensing details for: 81393

Name: ELIAS DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

57 NORTH BROADWAY
CHULA VISTA CA 91910
SAN DIEGO county
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Practice Location

57 NORTH BROADWAY
CHULA VISTA CA 91910
SAN DIEGO county
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Issuance Date

December 22, 2022

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
2:15:53 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: ELIAS, ARTURO KEVIN

License/Registration Type: Dentist License

License Number: 107162 Primary Status: Current - Active

Address :
1243 Silver Hawk Way
CHULA VISTA CA 91915-1669
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: BOCASH, GREGORY

License/Registration Type: Dentist License

License Number: 60573 Primary Status: Current - Active

Address :
2484 VISTA WAY, SUITE B
OCEANSIDE CA 92054
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: ARIANNEJAD, BABAK

License/Registration Type: Dentist License

License Number: 59452 Primary Status: Current - Active

Address :
718 W Washington St
SAN DIEGO CA 92103-1938
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: ALVARADO, STEVEN Christopher

License/Registration Type: Dentist License

License Number: 59267 Primary Status: Current - Active

Address :
4640 Cass St Unit 9720
SAN DIEGO CA 92109-2804
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: SINGH, SONAL

License/Registration Type: Dentist License

License Number: 53950 Primary Status: Current - Active

Address :
878 EASTLAKE PKWY
SUITE 1511
CHULA VISTA CA 91914
SAN DIEGO COUNTY

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