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Licensing details for: 63573

Name: FARSHIDI, FARZIN SEAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

17452 Irvine Blvd
Suite 100
TUSTIN CA 92780-3031
ORANGE county
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Issuance Date

July 2, 2014

Expiration Date

May 31, 2026

Current Date / Time

June 6, 2025
4:20:21 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: F. FARSHIDI DDS MD INC.

License/Registration Type: Additional Office Permit

License Number: 81183 Primary Status: Current - Active

Address :
2401 W CHAPMAN AVE STE 101
ORANGE CA 92868-2336
ORANGE COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ORANGE COUNTY MAXILLOFACIAL SURGERY CENTER, DENTAL OFFICE OF F. FARSHIDI DDS MD INC.

License/Registration Type: Fictitious Name Permit

License Number: 13681 Primary Status: Current - Active

Address :
2401 W CHAPMAN AVE STE 101
ORANGE CA 92868
ORANGE 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: ORANGE COUNTY MAXILLOFACIAL SURGERY CENTER, DENTAL OFFICE OF F. FARSHIDI DDS MD INC.

License/Registration Type: Fictitious Name Permit

License Number: 13681 Primary Status: Current - Active

Address :
2401 W CHAPMAN AVE STE 101
ORANGE CA 92868
ORANGE COUNTY

Map

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: FARSHIDI, FARZIN SEAN

License/Registration Type: General Anesthesia Permit

License Number: 1857 Primary Status: Current - Active

Address :
17452 Irvine Blvd
Suite 100
TUSTIN CA 92780-3031
ORANGE COUNTY

Map

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