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Licensing details for: 3757

Name: THE CARMEL VALLEY CENTER FOR ORAL AND

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

12264 EL CAMINO REAL
SAN DIEGO CA 92130
SAN DIEGO county
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Issuance Date

July 10, 2002

Expiration Date

February 28, 2022

Current Date / Time

June 6, 2025
10:2:47 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TAWFILIS, ADEL RASMY

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TAWFILIS, ADEL R

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: TAWFILIS, ADEL RASMY

License/Registration Type: Dentist License

License Number: 42008 Primary Status: Current - Active

Address :
12264 El Camino Real
Suite 111
SAN DIEGO CA 92130-3058
SAN DIEGO COUNTY

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