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Licensing details for: 42411

Name: ROSTAMI, HAROUN

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Probation Terminated

Address of Record

11980 San Vicente Blvd
Suite 660
LOS ANGELES CA 90049-5012
LOS ANGELES county
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Issuance Date

October 21, 1994

Expiration Date

June 30, 2026

Current Date / Time

April 3, 2026
5:04:00 PM

Public Record Actions

License Relationships

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: PARKSIDE DENTAL GROUP, H ROSTAMI, DDS, A

License/Registration Type: Fictitious Name Permit

License Number: 4403 Primary Status: Cancelled

Address :
2428 SANTA MONICA BLVD, #403
SANTA MONICA CA 90404
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: BRENTWOOD DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2458 Primary Status: Cancelled

Address :
11980 SAN VICENTE BLVD SUITE 660
LOS ANGELES CA 90049
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: BRENTWOOD DENTAL GROUP, H ROSTAMI DDS, A

License/Registration Type: Fictitious Name Permit

License Number: 4322 Primary Status: Current - Active

Address :
11980 San Vicente Blvd Ste 660
LOS ANGELES CA 90049-6641
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: PARKSIDE DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 2430 Primary Status: Cancelled

Address :
2428 SANTA MONICA BLVD STE 403
SANTA MONICA CA 90404
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: THE BRENTWOOD DENTIST, DENTAL PRACTICE OF H. ROSTAMI, DDS

License/Registration Type: Fictitious Name Permit

License Number: 14650 Primary Status: Current - Active

Address :
11980 SAN VINCENTE BLVD #660
LOS ANGELES CA 90049
LOS ANGELES COUNTY

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