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Licensing details for: 39184

Name: MEHRVARZI, MEHRDOKHT

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Reduced Renewal Fee

Address of Record

PO Box 16716
IRVINE CA 92623-6716
ORANGE county
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Issuance Date

July 26, 1991

Expiration Date

April 30, 2027

Current Date / Time

June 6, 2025
1:36:12 PM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: MEHRDOKHT MEHRVARZI, DDS

License/Registration Type: Additional Office Permit

License Number: 7202 Primary Status: Cancelled

Address :
31952 CAMINO CAPISTRANO SUITE C14,C16
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAKE FOREST DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3273 Primary Status: Cancelled

Address :
23082 RIDGE ROUTE DRIVE SUITE A
LAKE FOREST CA 92630
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SAN JUAN FAMILY DENTISTRY, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 4482 Primary Status: Cancelled

Address :
31952 CAMINO CAPISTRANO
STE C14 & C16
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAKE FOREST DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2143 Primary Status: Cancelled

Address :
MEHRDOKHT MEHRAVARZI, DDS,INC.
23591 EL TORO ROAD
LAKE FOREST CA 92630
ORANGE 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: LAKE FOREST DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2143 Primary Status: Cancelled

Address :
MEHRDOKHT MEHRAVARZI, DDS,INC.
23591 EL TORO ROAD
LAKE FOREST CA 92630
ORANGE 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: SAN JUAN FAMILY DENTISTRY, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 4482 Primary Status: Cancelled

Address :
31952 CAMINO CAPISTRANO
STE C14 & C16
SAN JUAN CAPISTRANO CA 92675
ORANGE 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: LAKE FOREST DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 3273 Primary Status: Cancelled

Address :
23082 RIDGE ROUTE DRIVE SUITE A
LAKE FOREST CA 92630
ORANGE COUNTY

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New License to Old License

License/Registration Role: New Dentist License

Related Party Role: Old Dentist License

Name: DARMSTADT, STEVEN DAVID

License/Registration Type: Dentist License

License Number: 28919 Primary Status: Current - Active

Address :
1751 W ROMNEYA DR STE C
ANAHEIM CA 92801
ORANGE COUNTY

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New License to Old License

License/Registration Role: New Dentist License

Related Party Role: Old Dentist License

Name: LEVI, SOHEIL PISHGAR

License/Registration Type: Dentist License

License Number: 39195 Primary Status: Current - Active

Address :
6020 SEABLUFF DR #5
LOS ANGELES CA 90094
LOS ANGELES COUNTY

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