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Licensing details for: 14915

Name: JAMACHA DENTAL PRACTICE OF MINA ABDULLAH DDS INC

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

767 JAMACHA ROAD
EL CAJON CA 92019
SAN DIEGO county
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Practice Location

767 JAMACHA ROAD
EL CAJON CA 92019
SAN DIEGO county
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Issuance Date

March 29, 2019

Expiration Date

May 31, 2026

Current Date / Time

June 21, 2025
9:24:53 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ABDULLAH, MINA M.

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: ABDULLAH, MINA M.

License/Registration Type: Dentist License

License Number: 65266 Primary Status: Current - Active

Address :
767 JAMACHA RD
EL CAJON CA 92019
SAN DIEGO COUNTY

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