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Licensing details for: 54643

Name: HIVAND, HOUMAN

License Type: Dentist

Primary Status: Deceased

Method of Application: Licensure by WREB

Address of Record

210 Park Blvd
SAN DIEGO CA 92101-7414
SAN DIEGO county
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Practice Location

68555 Ramon Rd # 102
CATHEDRAL CITY CA 92234-3310
RIVERSIDE county
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Issuance Date

August 1, 2006

Expiration Date

March 31, 2018

Current Date / Time

April 3, 2026
4:54:20 AM

License Relationships

AO to DDS or OMS (Owners)

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

Related Party Role: Additional Office Permit

Name: HIVAND AND GHAZAL DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 9440 Primary Status: Cancelled

Address :
68-487 E. PALM CANYON DR.
BLDG. 1
CATHEDRAL CITY CA 92234
RIVERSIDE COUNTY

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