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Licensing details for: 5396

Name: NORTH COUNTY CENTER FOR COSMETIC DENTISTRY,

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

3837 PLAZA DR, STE 805
OCEANSIDE CA 92056
SAN DIEGO county
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Issuance Date

February 17, 2005

Expiration Date

May 31, 2006

Current Date / Time

June 6, 2025
10:10:46 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: SAFARIAN, SHAHIN

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: SAFARIAN, SHAHIN

License/Registration Type: Dentist License

License Number: 49204 Primary Status: Current - Active

Address :
11858 Bernardo Plaza Court
Suite 270
SAN DIEGO CA 92128
SAN DIEGO COUNTY

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