
Dental Board of California
Licensing details for: 15800
Name: NEXGEN DENTISTRY DENTAL PRACTICE OF M YAVARI. DDS
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: NEXGEN DENTISTRY PRACTICE OF M. YAVARI, DDS PC
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: YAVARI, MANSOUREH
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: YAVARI, MANSOUREH
License/Registration Type: Dentist License
License Number: 56898 Primary Status: Current - Active
Address :
11435 Cypress Canyon Park Dr
SAN DIEGO CA 92131-3520
SAN DIEGO COUNTY