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Licensing details for: 103858

Name: MASHHOON, NIMA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

2151 S College Dr.
103
SANTA MARIA CA 93455
SANTA BARBARA county
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Issuance Date

June 25, 2019

Expiration Date

July 31, 2026

Current Date / Time

December 13, 2025
7:55:7 AM

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: MODERN SMILE DENTISTRY DENTAL PRACTICE OF NIMA MASHHOON DMD MS INC

License/Registration Type: Fictitious Name Permit

License Number: 17149 Primary Status: Current - Active

Address :
2151 S. COLLEGE DRIVE #103
SANTA MARIA CA 93455
SANTA BARBARA COUNTY

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