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Licensing details for: 5572

Name: SPECTRUM DENTAL OFFICE, HANGAMA KAZEM SADAT, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

5375 KEARNY VILLA RD, STE 103
SAN DIEGO CA 92123
SAN DIEGO county
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Issuance Date

May 23, 2005

Expiration Date

August 31, 2018

Current Date / Time

June 13, 2026
5:52:25 PM

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: SADAT, HANGAMA KAZEM

License/Registration Type: Dentist License

License Number: 50700 Primary Status: Current - Active

Address :
3268 Greyling Dr
SAN DIEGO CA 92123-2230

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