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Licensing details for: 108546

Name: EVINI, MEHRAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

20168 Livorno Way
PORTER RANCH CA 91326-4074
LOS ANGELES county
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Issuance Date

January 31, 2023

Expiration Date

May 31, 2027

Current Date / Time

June 6, 2025
8:4:46 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: OPEN DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 19502 Primary Status: Current - Active

Address :
6817 BALBOA BLVD UNIT: A
VAN NUYS CA 91406
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: OPEN DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 19502 Primary Status: Current - Active

Address :
6817 BALBOA BLVD UNIT: A
VAN NUYS CA 91406
LOS ANGELES COUNTY

Map

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