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Licensing details for: 63832

Name: FARZAM, DANIELLE

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Licensure by Residency

Address of Record

435 S Bentley Ave
LOS ANGELES CA 90049-3512
LOS ANGELES county
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Issuance Date

August 5, 2014

Expiration Date

June 30, 2027

Current Date / Time

April 7, 2026
1:33:28 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: ARJANG AND FARZAM DDS, INC.

License/Registration Type: Additional Office Permit

License Number: 80239 Primary Status: Current - Active

Address :
38427 20TH ST. EAST
PALMDALE CA 93550
LOS ANGELES 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: RAY ORTHODONTICS OF MONTEBELLO, DENTAL PRACTICE OF ARJANG DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 13729 Primary Status: Cancelled

Address :
415 W BEVERLY BLVD #B
MONTEBELLO CA 90640
LOS ANGELES COUNTY

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