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Licensing details for: 108591

Name: SHAKOURI PARTOVI, GOLSHID

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

1530 Camden Ave
Apt#305
LOS ANGELES CA 90025-8010
LOS ANGELES county
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Issuance Date

February 13, 2023

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
8:32:35 PM

License Relationships

PMS to DDS or OMS or SP

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

Related Party Role: Pediatric Minimal Sedation Permit

Name: SHAKOURI PARTOVI, GOLSHID

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 205 Primary Status: Current - Active

Address :
9745 LAUREL CANYON BLVD A
ARLETA CA 91331
LOS ANGELES COUNTY

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