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Licensing details for: 40251

Name: KHORSANDI-SABET, NAZLY

License Type: Dentist

Primary Status: Cancelled

Previous Names: KHORSANDI, NAZLY

Address of Record

626 11TH ST
SANTA MONICA CA 90402
LOS ANGELES county
Map

Issuance Date

August 3, 1992

Expiration Date

July 31, 2019

Current Date / Time

June 22, 2025
1:35:8 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SANTA MONICA DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 2693 Primary Status: Cancelled

Address :
1244 7TH STREET SUITE 101
SANTA MONICA CA 90401
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: OCEAN DENTAL OFFICE OF SANTA MONICA, NAZLY KHORSANDI, DDS,

License/Registration Type: Fictitious Name Permit

License Number: 5054 Primary Status: Cancelled

Address :
1244 7TH ST, STE 102
SANTA MONICA CA 90401
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: SANTA MONICA DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 2693 Primary Status: Cancelled

Address :
1244 7TH STREET SUITE 101
SANTA MONICA CA 90401
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: OCEAN DENTAL OFFICE OF SANTA MONICA, NAZLY KHORSANDI, DDS,

License/Registration Type: Fictitious Name Permit

License Number: 5054 Primary Status: Cancelled

Address :
1244 7TH ST, STE 102
SANTA MONICA CA 90401
LOS ANGELES COUNTY

Map

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