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Licensing details for: 100533

Name: AMIRI, ROJIN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Residency

Address of Record

4155 Moorpark Ave
10
SAN JOSE CA 95117
SANTA CLARA county
Map

Practice Location

4155 Moorpark Ave
10
SAN JOSE CA 95117-1714
SANTA CLARA county
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Issuance Date

July 26, 2016

Expiration Date

November 30, 2026

Current Date / Time

June 7, 2025
6:53:43 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SARATOGA PEDIATRIC DENTISTRY DENTAL OFFICE OF ROJIN AMIRI D.D.S. INC.

License/Registration Type: Fictitious Name Permit

License Number: 16477 Primary Status: Current - Active

Address :
4155 MOORPARK AVE STE 10
SAN JOSE CA 95117
SANTA CLARA COUNTY

Map

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: SARATOGA PEDIATRIC DENTISTRY DENTAL OFFICE OF ROJIN AMIRI D.D.S. INC.

License/Registration Type: Fictitious Name Permit

License Number: 16477 Primary Status: Current - Active

Address :
4155 MOORPARK AVE STE 10
SAN JOSE CA 95117
SANTA CLARA COUNTY

Map

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