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Licensing details for: 60128

Name: BAGHERI, MOJI MOJTABA

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Licensure by Residency

Previous Names: BAGHERABADI, MOJTABA

Address of Record

330 Park Ave
Suite 8
LAGUNA BEACH CA 92651
ORANGE county
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Practice Location

330 Park Ave
Suite 8
LAGUNA BEACH CA 92651
ORANGE county
Map

Issuance Date

January 19, 2011

Expiration Date

March 31, 2027

Current Date / Time

June 7, 2025
3:10:27 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LAGUNA BEACH ENDODONTICS AND MICROSURGERY DENTAL PRACTICE OF DR. MOJI BAGHERI

License/Registration Type: Fictitious Name Permit

License Number: 16002 Primary Status: Current - Active

Address :
330 PARK AVE ., SUITE 8
LAGUNA BEACH CA 92651
ORANGE COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LONG BEACH ENDODONTICS DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 19256 Primary Status: Current - Active

Address :
5175 E PACIFIC COAST HWY SUITE 404
LONG BEACH CA 90804

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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: LONG BEACH ENDODONTICS DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 19256 Primary Status: Current - Active

Address :
5175 E PACIFIC COAST HWY SUITE 404
LONG BEACH CA 90804

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: LAGUNA BEACH ENDODONTICS AND MICROSURGERY DENTAL PRACTICE OF DR. MOJI BAGHERI

License/Registration Type: Fictitious Name Permit

License Number: 16002 Primary Status: Current - Active

Address :
330 PARK AVE ., SUITE 8
LAGUNA BEACH CA 92651
ORANGE COUNTY

Map

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