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Licensing details for: 55768

Name: MIRMARASHI, BABAK

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

10921 WILSHIRE BL #501
LOS ANGELES CA 90024
LOS ANGELES county
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Issuance Date

June 15, 2007

Expiration Date

December 31, 2026

Current Date / Time

June 6, 2025
4:5:27 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GLENDALE DENTAL ARTS CENTER DENTAL PRACTICE, MIRMARASHI & MAKHMAL

License/Registration Type: Fictitious Name Permit

License Number: 12094 Primary Status: Expired

Address :
814 E. BROADWAY AVENUE #4
GLENDALE CA 91205
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GLENDALE DENTAL ARTS CENTER DENTAL PRACTICE, MIRMARASHI & MAKHMALBAF

License/Registration Type: Fictitious Name Permit

License Number: 15689 Primary Status: Current - Active

Address :
800 S. CENTRAL AVE # 304
GLENDALE CA 91204
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WESTWOOD DENTAL ARTS CENTER, DENTAL PRACTICE MAKHMALBAF & MIRMARASHI

License/Registration Type: Fictitious Name Permit

License Number: 10199 Primary Status: Current - Active

Address :
10921 WILSHIRE BOULEVARD, STE. 501
LOS ANGELES CA 90024
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: WESTWOOD DENTAL ARTS CENTER, DENTAL PRACTICE MAKHMALBAF & MIRMARASHI

License/Registration Type: Fictitious Name Permit

License Number: 10199 Primary Status: Current - Active

Address :
10921 WILSHIRE BOULEVARD, STE. 501
LOS ANGELES CA 90024
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: GLENDALE DENTAL ARTS CENTER DENTAL PRACTICE, MIRMARASHI & MAKHMAL

License/Registration Type: Fictitious Name Permit

License Number: 12094 Primary Status: Expired

Address :
814 E. BROADWAY AVENUE #4
GLENDALE CA 91205
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: GLENDALE DENTAL ARTS CENTER DENTAL PRACTICE, MIRMARASHI & MAKHMALBAF

License/Registration Type: Fictitious Name Permit

License Number: 15689 Primary Status: Current - Active

Address :
800 S. CENTRAL AVE # 304
GLENDALE CA 91204
LOS ANGELES COUNTY

Map

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