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Licensing details for: 32308

Name: GILANI, SAM

License Type: Dentist

Primary Status: Current - Active

Previous Names: GILANI, SIAVOSH GILANI, SAM MARY

Address of Record

9663 Santa Monica Blvd
#1078
BEVERLY HILLS CA 90210
LOS ANGELES county
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Issuance Date

June 22, 1984

Expiration Date

December 31, 2026

Current Date / Time

June 7, 2025
2:33:31 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SPECIALTY DENTAL GROUP OF RODEF AND GILANI

License/Registration Type: Fictitious Name Permit

License Number: 2453 Primary Status: Cancelled

Address :
416 N BEDFORD DRIVE SUITE 407
BEVERLY HILLS CA 90210
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BEVERLY HILLS CENTER FOR PERIO &

License/Registration Type: Fictitious Name Permit

License Number: 2570 Primary Status: Cancelled

Address :
416 NORTH BEDFORD DRIVE SUITE 407
BEVERLY HILLS CA 90210
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: SPECIALTY DENTAL GROUP OF RODEF AND GILANI

License/Registration Type: Fictitious Name Permit

License Number: 2453 Primary Status: Cancelled

Address :
416 N BEDFORD DRIVE SUITE 407
BEVERLY HILLS CA 90210
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: BEVERLY HILLS CENTER FOR PERIO &

License/Registration Type: Fictitious Name Permit

License Number: 2570 Primary Status: Cancelled

Address :
416 NORTH BEDFORD DRIVE SUITE 407
BEVERLY HILLS CA 90210
LOS ANGELES COUNTY

Map

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