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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

Address of Record

909 EUCLID AVE
NATIONAL CITY CA 91950
SAN DIEGO county
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Practice Location

909 EUCLID AVE
NATIONAL CITY CA 91950
SAN DIEGO county
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Issuance Date

May 13, 2020

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
10:8:34 AM

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

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