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Licensing details for: 106258

Name: NEDJAT-HAIEM, MICHAEL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

763 Town Center Dr
OXNARD CA 93036-1168
VENTURA county
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Practice Location

1901 Solar Dr
250
OXNARD CA 93036-2641
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612 E Carson St
LONG BEACH CA 90807-2912
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Issuance Date

June 18, 2021

Expiration Date

December 31, 2026

Current Date / Time

June 7, 2025
2:53:24 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: MICHAEL NEDJAT-HAIEM, DDS

License/Registration Type: Additional Office Permit

License Number: 81944 Primary Status: Current - Active

Address :
1901 SOLAR DR., # 250
OXNARD CA 93036
VENTURA COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: MICHAEL NEDJAT-HAIEM, DDS

License/Registration Type: Additional Office Permit

License Number: 81973 Primary Status: Current - Active

Address :
612 E. CARSON ST.
LONG BEACH CA 90807
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KIDZY DENTAL AND ORTHODONTIX DENTAL GROUP OF M. NEDJAT-HAIEM DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 19098 Primary Status: Current - Active

Address :
763 TOWN CENTER DR.
OXNARD CA 93036
VENTURA COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BIXBY ENDODONTICS DENTAL GROUP OF NEDJAT-HAIEM DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 19000 Primary Status: Current - Active

Address :
612 E. CARSON ST.
LONG BEACH CA 90807
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SOLAR ENDODONTICS DENTAL GROUP OF MICHAEL NEDJAT-HAIEM DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18977 Primary Status: Current - Active

Address :
1901 SOLAR DR., SUITE 250
OXNARD CA 93036
VENTURA 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: BIXBY ENDODONTICS DENTAL GROUP OF NEDJAT-HAIEM DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 19000 Primary Status: Current - Active

Address :
612 E. CARSON ST.
LONG BEACH CA 90807
LOS ANGELES COUNTY

Map

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: KIDZY DENTAL AND ORTHODONTIX DENTAL GROUP OF M. NEDJAT-HAIEM DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 19098 Primary Status: Current - Active

Address :
763 TOWN CENTER DR.
OXNARD CA 93036
VENTURA COUNTY

Map

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: SOLAR ENDODONTICS DENTAL GROUP OF MICHAEL NEDJAT-HAIEM DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18977 Primary Status: Current - Active

Address :
1901 SOLAR DR., SUITE 250
OXNARD CA 93036
VENTURA COUNTY

Map

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