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Licensing details for: 59934

Name: KHOSHBIN, SARA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

16 Via Terracaleta
COTO DE CAZA CA 92679-4016
ORANGE county
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Issuance Date

October 18, 2010

Expiration Date

January 31, 2027

Current Date / Time

June 22, 2025
2:6:49 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NEW GENERATION DENTISTRY DENTAL PRACTICE AGHAKHAN_MOHEB

License/Registration Type: Fictitious Name Permit

License Number: 10995 Primary Status: Cancelled

Address :
27654 SANTA MARGARITA PKWY
MISSION VIEJO CA 92691
ORANGE 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: NEW GENERATION DENTISTRY DENTAL PRACTICE AGHAKHAN_MOHEB

License/Registration Type: Fictitious Name Permit

License Number: 10995 Primary Status: Cancelled

Address :
27654 SANTA MARGARITA PKWY
MISSION VIEJO CA 92691
ORANGE 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: KHOSHBIN, SARA

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2816 Primary Status: Cancelled

Address :
16 VIA TERRACALETA
COTO DE CAZA CA 92679
ORANGE COUNTY

Map

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