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Licensing details for: 6248

Name: SPRING VALLEY DENTAL GROUP, DAVID TOMA, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

645 SWEETWATER RD
SPRING VALLEY CA 91977
SAN DIEGO county
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Issuance Date

June 14, 2006

Expiration Date

March 31, 2009

Current Date / Time

June 6, 2025
2:3:7 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TOMA, DAVID SAMIR

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PETROS, DHAFIR JALAL

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: TOMA, DAVID SAMIR

License/Registration Type: Dentist License

License Number: 48042 Primary Status: Current - Active

Address :
1814 N Dinuba Blvd
VISALIA CA 93291-3014

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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: PETROS, DHAFIR JALAL

License/Registration Type: Dentist License

License Number: 47154 Primary Status: Current - Active

Address :
3530 Camino Del Rio N
SUITE 109
SAN DIEGO CA 92108-1743
SAN DIEGO COUNTY

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