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Licensing details for: 82220

Name: BABAK ARIANNEJAD, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: College Avenue Dentistry, Inc.

Address of Record

4585 College Ave., Ste. B
SAN DIEGO CA 92115
SAN DIEGO county
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Practice Location

4585 College Ave., Ste. B
SAN DIEGO CA 92115
SAN DIEGO county
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Issuance Date

May 14, 2025

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
2:21:55 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: 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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