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Licensing details for: 63466

Name: ABDESHAHIAN, IMAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

5406 E Village Rd
LONG BEACH CA 90808-1607
LOS ANGELES county
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Practice Location

5406 E Village Rd
LONG BEACH CA 90808-1607
LOS ANGELES county
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Issuance Date

June 10, 2014

Expiration Date

December 31, 2025

Current Date / Time

June 6, 2025
4:24:2 PM

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: ABDESHAHIAN AND NGUYEN DENTAL CORPORATION

License/Registration Type: Additional Office Permit

License Number: 80306 Primary Status: Current - Active

Address :
12919 BEACH BLVD
STANTON CA 90680
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: STANTON SMILE DENTISTRY DENTAL GROUP ABDESHAHIAN AND NGUYEN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15369 Primary Status: Current - Active

Address :
12919 BEACH BLVD
STANTON CA 90680
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: STANTON SMILE DENTISTRY DENTAL GROUP ABDESHAHIAN AND NGUYEN DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 15369 Primary Status: Current - Active

Address :
12919 BEACH BLVD
STANTON CA 90680
ORANGE COUNTY

Map

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