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Licensing details for: 53051

Name: MANSOURI, PARNAZ BARNAJIAN

License Type: Dentist

Primary Status: Current - Active

Previous Names: BARNAJIAN, PARNAZ

Address of Record

16550 VENTURA BLVD SUITE 322
ENCINO CA 91436
LOS ANGELES county
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Issuance Date

August 18, 2004

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
8:33:32 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ENCINO PEDIATRIC DENTAL GROUP PEDIATRIC DENTAL OFFICE OF DRS. MAN

License/Registration Type: Fictitious Name Permit

License Number: 12111 Primary Status: Current - Active

Address :
16550 VENTURA BLVD, SUITE 322
ENCINO CA 91436
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: ENCINO PEDIATRIC DENTAL GROUP PEDIATRIC DENTAL OFFICE OF DRS. MAN

License/Registration Type: Fictitious Name Permit

License Number: 12111 Primary Status: Current - Active

Address :
16550 VENTURA BLVD, SUITE 322
ENCINO CA 91436
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: MANSOURI, PARNAZ BARNAJIAN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 920 Primary Status: Cancelled

Address :
16550 Ventura Blvd Ste 322
ENCINO CA 91436-5023
LOS ANGELES COUNTY

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PMS to DDS or OMS or SP

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

Related Party Role: Pediatric Minimal Sedation Permit

Name: MANSOURI, PARNAZ BARNAJIAN

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 225 Primary Status: Current - Active

Address :
16550 VENTURA BLVD STE 322
ENCINO CA 91436
LOS ANGELES COUNTY

Map

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