Dental Board of California
Licensing details for: 3232
Name: LA MESA FAMILY DENTAL GROUP
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Address of Record
5680 LAKE MURRAY BLVD STE B
LA MESA CA 91942
SAN DIEGO county
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License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KAMALI TAHA, ARASH
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: KAMALI TAHA, ARASH
License/Registration Type: Dentist License
License Number: 43175 Primary Status: Current - Active
Address :
1553 CALLE CANDELA
LA JOLLA CA 92037
SAN DIEGO COUNTY
