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Licensing details for: 10243

Name: CLEARCHOICE DENTAL IMPLANT CENTER, DENTAL OFFICE OF SCOTT K. PERK

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

4910 DIRECTORS PLACE, STE. 300
SAN DIEGO CA 92121
SAN DIEGO county
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Practice Location

4910 DIRECTORS PLACE, STE. 300
SAN DIEGO CA 92121
SAN DIEGO county
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Issuance Date

December 12, 2012

Expiration Date

February 28, 2019

Current Date / Time

June 6, 2025
2:6:29 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHARAFI, ARSHIYA

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: SHARAFI, ARSHIYA

License/Registration Type: Dentist License

License Number: 57540 Primary Status: Current - Active

Address :
4125 SORRENTO VALLEY BLVD
D
SAN DIEGO CA 92121
SAN DIEGO COUNTY

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