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Licensing details for: 82790

Name: SHAHAB ARIANNEJAD, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: Vista Modern Dentistry, Inc.

Address of Record

1350 E Vista Way, Ste. 10
VISTA CA 92084
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Issuance Date

April 3, 2026

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2026
1:20:41 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, SHAHAB

License/Registration Type: Dentist License

License Number: 59609 Primary Status: Current - Active

Address :
5620 Lake Murray Blvd.
LA MESA CA 91942
SAN DIEGO COUNTY

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