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Licensing details for: 56085

Name: KHOSROVANI, ALI

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

4905 YORK
LOS ANGELES CA 90042
LOS ANGELES county
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Issuance Date

August 3, 2007

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
10:12:31 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: ALI KHOSROVANI D.D.S. INC

License/Registration Type: Additional Office Permit

License Number: 80871 Primary Status: Expired

Address :
4905 YORK BLVD
LOS ANGELES CA 90042
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: A NEW SMILE CC DENTAL GROUP OF DR'S KHOSRAVONI, RAMTIN AND ZARRIN

License/Registration Type: Fictitious Name Permit

License Number: 11259 Primary Status: Expired

Address :
27209 CAM PLENTY
CANYON COUNTRY CA 91351
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: A BRITER SMILE DENTAL GROUP, ALI KHOSROVANI, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 8082 Primary Status: Expired

Address :
4905 YORK BOULEVARD
LOS ANGELES CA 90042
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: A BRITER SMILE DENTAL GROUP, ALI KHOSROVANI, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 8082 Primary Status: Expired

Address :
4905 YORK BOULEVARD
LOS ANGELES CA 90042
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: A NEW SMILE CC DENTAL GROUP OF DR'S KHOSRAVONI, RAMTIN AND ZARRIN

License/Registration Type: Fictitious Name Permit

License Number: 11259 Primary Status: Expired

Address :
27209 CAM PLENTY
CANYON COUNTRY CA 91351
LOS ANGELES COUNTY

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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: KHOSROVANI, ALI

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 1528 Primary Status: Expired

Address :
4905 YORK AVENUE
LOS ANGELES CA 90042
LOS ANGELES COUNTY

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