
Dental Board of California
Licensing details for: 36
Name: YAVARI, MANSOUREH
License Type: Pediatric Minimal Sedation Permit
Primary Status: Expired
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: NEXGEN DENTISTRY DENTAL PRACTICE OF M YAVARI. DDS
License/Registration Type: Fictitious Name Permit
License Number: 15800 Primary Status: Current - Active
Address :
909 EUCLID AVE
NATIONAL CITY CA 91950
SAN DIEGO COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Pediatric Minimal Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: YAVARI, MANSOUREH
License/Registration Type: Dentist License
License Number: 56898 Primary Status: Current - Active
Address :
11435 Cypress Canyon Park Dr
SAN DIEGO CA 92131-3520
SAN DIEGO COUNTY