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Licensing details for: 110751

Name: VICTORY, VAJEH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by ADEX

Address of Record

28931 Marlies St
AGOURA HILLS CA 91301-1727
LOS ANGELES county
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Issuance Date

September 10, 2024

Expiration Date

February 29, 2028

Current Date / Time

April 4, 2026
1:37:07 AM

License Relationships

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: Oxnard Modern Dentistry, Dental Group of Oxnard Modern Dentistry, Inc.

License/Registration Type: Fictitious Name Permit

License Number: 20323 Primary Status: Current - Active

Address :
2150 N Rose Ave
OXNARD CA 93036-5058
VENTURA COUNTY

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