Dental Board of California
Licensing details for: 20352
Name: Vista Modern Dentistry, Dental Group of Vista Modern Dentistry, Inc.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Address of Record
1350 E. Vista Way, Suite 10
VISTA CA 92084
Map
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
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: AL-KHOURI, CHRISTINE NOEL
License/Registration Type: Dentist License
License Number: 65140 Primary Status: Current - Active
Address :
1520 10th Ave
SAN DIEGO CA 92101-2812
SAN DIEGO COUNTY
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
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
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, SHAHAB
License/Registration Type: Dentist License
License Number: 59609 Primary Status: Current - Active
Address :
5620 Lake Murray Blvd.
LA MESA CA 91942
SAN DIEGO COUNTY



