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Licensing details for: 15163

Name: SANTEE SMILES DENTISTRY DENTAL GROUP JADALI-ARAGHI DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

9331 MISSION GORGE ROAD, SUITE 105
SANTEE CA 92071
SAN DIEGO county
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Practice Location

9331 MISSION GORGE ROAD, SUITE 105
SANTEE CA 92071
SAN DIEGO county
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Issuance Date

July 22, 2019

Expiration Date

April 30, 2021

Current Date / Time

December 13, 2025
9:41:31 AM

License Relationships

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: NOSTI, JOHN CHARLES

License/Registration Type: Dentist License

License Number: 48655 Primary Status: Current - Active

Address :
709 Center Dr Ste 101
SAN MARCOS CA 92069-2502
SAN DIEGO COUNTY

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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: PHAM, MINH BAO

License/Registration Type: Dentist License

License Number: 46321 Primary Status: Current - Active

Address :
5675 Balboa Ave
SAN DIEGO CA 92111-2705
SAN DIEGO COUNTY

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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: JADALI-ARAGHI, ALI

License/Registration Type: Dentist License

License Number: 58835 Primary Status: Current - Active

Address :
4250 PORTE DE PALMAS #53
SAN DIEGO CA 92122
SAN DIEGO COUNTY

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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: REAGAN, DARIN SCOTT

License/Registration Type: Dentist License

License Number: 34407 Primary Status: Current - Active

Address :
943 AVENIDA PICO, STE. A
SAN CLEMENTE CA 92673
ORANGE COUNTY

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