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Licensing details for: 101460

Name: IRANPOUR, MAHSA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: IRANPOUR DEHKORDI, MAHSA

Address of Record

119 Cape Victoria
ALISO VIEJO CA 92656-6086
ORANGE county
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Issuance Date

June 24, 2017

Expiration Date

April 30, 2026

Current Date / Time

June 7, 2025
7:17:10 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILECARE DENTISTRY DENTAL OFFICE OF DRS IRANPOUR AND SAFFARI-NAZARI

License/Registration Type: Fictitious Name Permit

License Number: 18517 Primary Status: Cancelled

Address :
11540 HAWTHORNE BLVD., #B
HAWTHORNE CA 90250
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: SMILECARE DENTISTRY DENTAL OFFICE OF DRS IRANPOUR AND SAFFARI-NAZARI

License/Registration Type: Fictitious Name Permit

License Number: 18517 Primary Status: Cancelled

Address :
11540 HAWTHORNE BLVD., #B
HAWTHORNE CA 90250
LOS ANGELES COUNTY

Map

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