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Licensing details for: 104524

Name: BALAZADEH, HONEY

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Credential

Address of Record

22276 MACFARLANE DR
WOODLAND HILLS CA 91364
LOS ANGELES county
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Issuance Date

November 5, 2019

Expiration Date

September 30, 2025

Current Date / Time

June 7, 2025
9:20:46 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CANYON SMILES & ORTHODONTICS DENTAL OFFICE OF DRS EBRAHIMI AND BALAZADEH

License/Registration Type: Fictitious Name Permit

License Number: 17550 Primary Status: Current - Active

Address :
18279 SOLEDAD CANYON RD
CANYON COUNTRY CA 91387
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 SMILES & ORTHODONTICS DENTAL OFFICE OF DRS EBRAHIMI AND BALAZADEH

License/Registration Type: Fictitious Name Permit

License Number: 17550 Primary Status: Current - Active

Address :
18279 SOLEDAD CANYON RD
CANYON COUNTRY CA 91387
LOS ANGELES COUNTY

Map

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