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Licensing details for: 17727

Name: SOUTH BAY MODERN DENTISTRY DENTAL GROUP, ELIAS DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

57 NORTH BROADWAY
CHULA VISTA CA 91910
SAN DIEGO county
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Practice Location

57 NORTH BROADWAY
CHULA VISTA CA 91910
SAN DIEGO county
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Issuance Date

March 24, 2023

Expiration Date

August 31, 2026

Current Date / Time

June 6, 2025
1:29:42 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SINGH, SONAL

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: BOCASH, GREGORY

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ALVARADO, STEVEN CHRISTOPHER

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ELIAS, ARTURO KEVIN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: ARIANNEJAD, BABAK

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: ARIANNEJAD, BABAK

License/Registration Type: Dentist License

License Number: 59452 Primary Status: Current - Active

Address :
718 W Washington St
SAN DIEGO CA 92103-1938
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: BOCASH, GREGORY

License/Registration Type: Dentist License

License Number: 60573 Primary Status: Current - Active

Address :
2484 VISTA WAY, SUITE B
OCEANSIDE CA 92054
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: SINGH, SONAL

License/Registration Type: Dentist License

License Number: 53950 Primary Status: Current - Active

Address :
878 EASTLAKE PKWY
SUITE 1511
CHULA VISTA CA 91914
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: ELIAS, ARTURO KEVIN

License/Registration Type: Dentist License

License Number: 107162 Primary Status: Current - Active

Address :
1243 Silver Hawk Way
CHULA VISTA CA 91915-1669
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: ALVARADO, STEVEN Christopher

License/Registration Type: Dentist License

License Number: 59267 Primary Status: Current - Active

Address :
4640 Cass St Unit 9720
SAN DIEGO CA 92109-2804
SAN DIEGO COUNTY

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