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Licensing details for: 100266

Name: Cohen, Mahyar

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

5243 Yarmouth Ave
22
ENCINO CA 91316-3109
LOS ANGELES county
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Issuance Date

June 7, 2016

Expiration Date

February 28, 2026

Current Date / Time

December 13, 2025
4:46:54 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: COHEN DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 81252 Primary Status: Expired

Address :
2827 SAVIERS RD
OXNARD CA 93033
VENTURA COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: Mahyar Cohen, DDS

License/Registration Type: Additional Office Permit

License Number: 82274 Primary Status: Current - Active

Address :
8617 CALIFORNIA AVE
SOUTH GATE CA 90280
LOS ANGELES COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: Mahyar Cohen, DDS

License/Registration Type: Additional Office Permit

License Number: 82262 Primary Status: Current - Active

Address :
8914 S Vermont Ave
LOS ANGELES CA 90044
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: SIMPLE DENTAL SOUTHGATE DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 19659 Primary Status: Current - Active

Address :
8617 California Ave
SOUTH GATE CA 90280
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: BELLA DENTAL PRACTICE OF DR. COHEN

License/Registration Type: Fictitious Name Permit

License Number: 18179 Primary Status: Current - Active

Address :
2827 SAVIERS RD
OXNARD CA 93033
VENTURA COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: BELLA DENTAL PRACTICE OF DR. COHEN

License/Registration Type: Fictitious Name Permit

License Number: 17036 Primary Status: Current - Active

Address :
2827 SAVIERS RD
OXNARD CA 93033
VENTURA COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: SIMPLE DENTAL VERMONT DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 19752 Primary Status: Current - Active

Address :
8914 S VERMONT AVE
LOS ANGELES CA 90044
LOS ANGELES COUNTY

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