Dental Board of California
Licensing details for: 10058
Name: GATEWAY SMILES & IMPLANT CENTER, DENTAL PRACTICE OF AZITA VAKILI,
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: GATEWAY SMILES & IMPLANT CENTER
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: VAKILI, AZITA
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: VAKILI, AZITA
License/Registration Type: Dentist License
License Number: 36443 Primary Status: Current - Active
Address :
652 Stevens Ave
SOLANA BEACH CA 92075-2422
SAN DIEGO COUNTY
