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Licensing details for: 46963

Name: SHAYAN, MAHVASH

License Type: Dentist

Primary Status: Expired Primary Status Definition

Address of Record

23609 BALMORAL LN
WEST HILLS CA 91307
LOS ANGELES county
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Practice Location

23101 SHERMAN PL #201
WEST HILLS CA 91307
LOS ANGELES county
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Issuance Date

November 15, 1999

Expiration Date

December 31, 2021

Current Date / Time

June 6, 2025
8:21:12 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: TEDDY BEAR CHILDREN'S DENTISTRY, DENTAL OFFICE, MAHVASH SHAYAN, D

License/Registration Type: Fictitious Name Permit

License Number: 7124 Primary Status: Cancelled

Address :
23101 SHERMAN PLACE
STE. 201
WEST HILLS CA 91307
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: TEDDY BEAR CHILDREN'S DENTISTRY, DENTAL OFFICE, MAHVASH SHAYAN, D

License/Registration Type: Fictitious Name Permit

License Number: 7124 Primary Status: Cancelled

Address :
23101 SHERMAN PLACE
STE. 201
WEST HILLS CA 91307
LOS ANGELES COUNTY

Map

OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: SHAYAN, MAHVASH

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 460 Primary Status: Cancelled

Address :
23101 SHERMAN PL # 201
WEST HILLS CA 91307
LOS ANGELES COUNTY

Map

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