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Licensing details for: 107387

Name: NISSANI, NATHAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

263 N. REXFORD DR.
BEVERLY HILLS CA 90210
LOS ANGELES county
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Issuance Date

April 8, 2022

Expiration Date

March 31, 2027

Current Date / Time

June 7, 2025
6:24:0 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CORBIN DENTISTS YAGHOBIAN & NISSANI DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 19087 Primary Status: Current - Active

Address :
19701 VENTURA BLVD
WOODLAND HILLS CA 91364
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: CORBIN DENTISTS YAGHOBIAN & NISSANI DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 19087 Primary Status: Current - Active

Address :
19701 VENTURA BLVD
WOODLAND HILLS CA 91364
LOS ANGELES COUNTY

Map

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