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Licensing details for: 16858

Name: ALL SMILES DENTAL STUDIO, A DENTAL OFFICE OF SHAHROKH DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

207 SOUTH EL CAMINO REAL, SUITE D
ENCINITAS CA 92024
SAN DIEGO county
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Practice Location

207 SOUTH EL CAMINO REAL, SUITE D
ENCINITAS CA 92024
SAN DIEGO county
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Issuance Date

October 25, 2021

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
2:6:23 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SHAHROKH, ALI

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: SHAHROKH, ALI

License/Registration Type: Dentist License

License Number: 59582 Primary Status: Current - Active

Address :
207 S El Camino Real
Ste D
ENCINITAS CA 92024-4142
SAN DIEGO COUNTY

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