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Licensing details for: 47552

Name: RAFI, KEVIN KAMIAR

License Type: Dentist

Primary Status: Current - Active

Address of Record

21516 Victory Blvd
WOODLAND HILLS CA 91367-2423
LOS ANGELES county
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Issuance Date

August 7, 2000

Expiration Date

December 31, 2025

Current Date / Time

June 6, 2025
8:9:22 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WARNER CENTER DENTAL, RAFI, SHIDMAND DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 8451 Primary Status: Cancelled

Address :
21516 VICTORY BOULEVARD
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PREFERRED DENTAL GROUP, OFFICE OF ELIE, RAFI, SHIDMAND, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4703 Primary Status: Cancelled

Address :
18048 SATICOY STREET
RESEDA CA 91335
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: PREFERRED DENTAL GROUP, OFFICE OF ELIE, RAFI, SHIDMAND, DDS, INC

License/Registration Type: Fictitious Name Permit

License Number: 4703 Primary Status: Cancelled

Address :
18048 SATICOY STREET
RESEDA CA 91335
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: WARNER CENTER DENTAL, RAFI, SHIDMAND DENTAL GROUP

License/Registration Type: Fictitious Name Permit

License Number: 8451 Primary Status: Cancelled

Address :
21516 VICTORY BOULEVARD
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY

Map

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