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Licensing details for: 58982

Name: KHAKNEGAR, MOHAMMAD

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

6024 Fallbrook Ave
Suite 201
WOODLAND HILLS CA 91367
LOS ANGELES county
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Practice Location

6024 Fallbrook Ave
Suite 201
WOODLAND HILLS CA 91367
LOS ANGELES county
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Issuance Date

November 3, 2009

Expiration Date

September 30, 2026

Current Date / Time

June 7, 2025
11:5:17 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: STARRY SKIES DENTAL OF M KHAKNEGAR DDS INCORPORATED DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 17049 Primary Status: Current - Active

Address :
6024 FALLBROOK AVE SUITE 201
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CHILDREN'S DENTAL FUN ZONE OF KHAKNEGAR & RODEF DENTAL CORPORATION DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 12830 Primary Status: Cancelled

Address :
6846 RESEDA BLVD, UNIT #C
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: CHILDREN'S DENTAL FUN ZONE OF KHAKNEGAR & RODEF DENTAL CORPORATION DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 12830 Primary Status: Cancelled

Address :
6846 RESEDA BLVD, UNIT #C
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: STARRY SKIES DENTAL OF M KHAKNEGAR DDS INCORPORATED DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 17049 Primary Status: Current - Active

Address :
6024 FALLBROOK AVE SUITE 201
WOODLAND HILLS CA 91367
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: KHAKNEGAR, MOHAMMAD

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2864 Primary Status: Cancelled

Address :
6024 Fallbrook Avenue
Suite 201
WOODLAND HILLS CA 91367
LOS ANGELES COUNTY

Map

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