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Licensing details for: 45349

Name: AHMADZADEH, FARIBA

License Type: Dentist

Primary Status: Current - Active

Previous Names: ZARRABI, FARIBA GHANDCHI

Address of Record

7028 1/2 Van Nuys Blvd
VAN NUYS CA 91405-3059
LOS ANGELES county
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Issuance Date

July 23, 1998

Expiration Date

December 31, 2025

Current Date / Time

June 7, 2025
6:2:46 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PLAZA DENTAL CLINIC, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 4471 Primary Status: Current - Active

Address :
7028 1/2 VAN NUYS BLVD
VAN NUYS CA 91405
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: PLAZA DENTAL CLINIC, DENTAL OFFICE OF

License/Registration Type: Fictitious Name Permit

License Number: 4471 Primary Status: Current - Active

Address :
7028 1/2 VAN NUYS BLVD
VAN NUYS CA 91405
LOS ANGELES COUNTY

Map

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