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Licensing details for: 63560

Name: VAHEDI, SAMAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

12300 Wilshire Blvd
Suite 326
LOS ANGELES CA 90025-1020
LOS ANGELES county
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Issuance Date

July 2, 2014

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
3:9:42 PM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: General Anesthesia Permit

Name: VAHEDI, SAMAN

License/Registration Type: General Anesthesia Permit

License Number: 1773 Primary Status: Current - Active

Address :
12300 Wilshire Blvd
#326
LOS ANGELES CA 90025-1020
LOS ANGELES COUNTY

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