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Licensing details for: 63471

Name: IRAVANI, GOWHAR

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

405 N Maclay Ave
101
SAN FERNANDO CA 91340-2445
LOS ANGELES county
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Practice Location

405 N Maclay Ave
101
SAN FERNANDO CA 91340-2445
LOS ANGELES county
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Issuance Date

June 12, 2014

Expiration Date

April 30, 2027

Current Date / Time

June 7, 2025
2:40:30 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: GOWHAR IRAVANI, DDS

License/Registration Type: Additional Office Permit

License Number: 81974 Primary Status: Current - Active

Address :
2880 OLYMPIC BLVD 201
LOS ANGELES CA 90006
LOS ANGELES COUNTY

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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: IRAVANI DENTAL CORP.

License/Registration Type: Additional Office Permit

License Number: 80153 Primary Status: Current - Active

Address :
8111 VAN NUYS BLVD, 107
PANORAMA CITY CA 91402
LOS ANGELES COUNTY

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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: NAZARIAN DENTAL CORP

License/Registration Type: Additional Office Permit

License Number: 80253 Primary Status: Current - Active

Address :
8111 VAN NUYS BLVD #107
PANORAMA CITY CA 91402
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GEM ORTHODONTICS DENTAL PRACTICE OF DR. IRAVANI

License/Registration Type: Fictitious Name Permit

License Number: 19303 Primary Status: Current - Active

Address :
2880 W OLYMPIC BLVD 201
LOS ANGELES CA 90006
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GOWHAR IRAVANI, DDS

License/Registration Type: Fictitious Name Permit

License Number: 14353 Primary Status: Current - Active

Address :
405 N MACLAY AVE, STE 101
SAN FERNANDO CA 91340
LOS ANGELES COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PANORAMA DENTAL GROUP OF DR. IRAVANI AND DR. NAZARIAN

License/Registration Type: Fictitious Name Permit

License Number: 15026 Primary Status: Current - Active

Address :
8111 VAN NUYS BLVD #107
PANORAMA CITY CA 91402
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: GEM ORTHODONTICS DENTAL PRACTICE OF DR. IRAVANI

License/Registration Type: Fictitious Name Permit

License Number: 19303 Primary Status: Current - Active

Address :
2880 W OLYMPIC BLVD 201
LOS ANGELES CA 90006
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: PANORAMA DENTAL GROUP OF DR. IRAVANI AND DR. NAZARIAN

License/Registration Type: Fictitious Name Permit

License Number: 15026 Primary Status: Current - Active

Address :
8111 VAN NUYS BLVD #107
PANORAMA CITY CA 91402
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: GOWHAR IRAVANI, DDS

License/Registration Type: Fictitious Name Permit

License Number: 14353 Primary Status: Current - Active

Address :
405 N MACLAY AVE, STE 101
SAN FERNANDO CA 91340
LOS ANGELES COUNTY

Map

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