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Licensing details for: 40272

Name: MATIAN, FARIBORZ

License Type: Dentist

Primary Status: Current - Active

Address of Record

19900 VENTURA BLVD
SUITE 200
WOODLAND HILLS CA 91364
LOS ANGELES county
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Issuance Date

July 30, 1992

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
2:58:12 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: BAKERSFIELD DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 1473 Primary Status: Cancelled

Address :
1518 NILES STREET
BAKERSFIELD CA 93306
KERN 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: BAKERSFIELD DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 1473 Primary Status: Cancelled

Address :
1518 NILES STREET
BAKERSFIELD CA 93306
KERN COUNTY

Map

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