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Licensing details for: 101491

Name: DABIRIAN, ALI SHAHIN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

11817 Preston Trails Ave
PORTER RANCH CA 91326-1447
LOS ANGELES county
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Contract Location

11817 Preston Trails Ave
PORTER RANCH CA 91326-1447
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Issuance Date

July 3, 2017

Expiration Date

September 30, 2026

Current Date / Time

June 7, 2025
5:52:4 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CANYON COUNTRY DENTAL CARE DENTAL GROUP OF ALI SHAHIN DABIRIAN, DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 18801 Primary Status: Current - Active

Address :
27552 SIERRA HWY
CANYON COUNTRY CA 91351
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: CANYON COUNTRY DENTAL CARE DENTAL GROUP OF ALI SHAHIN DABIRIAN, DDS INC.

License/Registration Type: Fictitious Name Permit

License Number: 18801 Primary Status: Current - Active

Address :
27552 SIERRA HWY
CANYON COUNTRY CA 91351
LOS ANGELES COUNTY

Map

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