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Licensing details for: 39149

Name: FANI, NOUSHIN K

License Type: Dentist

Primary Status: Current - Active

Address of Record

458 N Bonhill Rd
LOS ANGELES CA 90049-2324
LOS ANGELES county
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Issuance Date

July 26, 1991

Expiration Date

August 31, 2025

Current Date / Time

June 6, 2025
10:33:49 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: HEAVENLY DENTAL OFFICE, FESHARAKI & FANI DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 5627 Primary Status: Cancelled

Address :
321 N MACLAY AVE, STE A
SAN FERNANDO CA 91340
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: HEAVENLY DENTAL OFFICE, FESHARAKI & FANI DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 5627 Primary Status: Cancelled

Address :
321 N MACLAY AVE, STE A
SAN FERNANDO CA 91340
LOS ANGELES COUNTY

Map

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