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Licensing details for: 9700

Name: CLAIRMONT DENTAL OFFICE, EDWARD FARAJZADEH, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: CLAIRMONT DENTAL

Address of Record

3867 CLAIRMONT DRIVE
SAN DIEGO CA 92117
SAN DIEGO county
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Practice Location

3867 CLAIRMONT DRIVE
SAN DIEGO CA 92117
SAN DIEGO county
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Issuance Date

January 18, 2012

Expiration Date

September 30, 2017

Current Date / Time

June 6, 2025
10:39:25 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: FARAJZADEH, EDWARD

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: FARAJZADEH, EDWARD

License/Registration Type: Dentist License

License Number: 33031 Primary Status: Current - Active

Address :
13983 Mango Dr
106
DEL MAR CA 92014-3131
SAN DIEGO COUNTY

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