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Licensing details for: 100702

Name: ZOKAEIAN, SEYEDEH GOLNAZ

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

23962 Alicia Pkwy Ste F106
MISSION VIEJO CA 92691-3940
ORANGE county
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Practice Location

23962 Alicia Pkwy
MISSION VIEJO CA 92691-3940
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Issuance Date

August 11, 2016

Expiration Date

September 30, 2027

Current Date / Time

June 5, 2026
9:26:11 PM

License Relationships

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: Mission Viejo Modern Dentistry, Dental Group of Mission Viejo Modern Dentistry, Prof. Corp.

License/Registration Type: Fictitious Name Permit

License Number: 20657 Primary Status: Current - Active

Address :
23962 Alicia Pkwy, Suite F106
MISSION VIEJO CA 92691
ORANGE COUNTY

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