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Licensing details for: 64714

Name: TAHMASBI DEZFULY, KOOSHYAR

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1042 N Tustin St
ORANGE CA 92867-5958
ORANGE county
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Issuance Date

July 10, 2015

Expiration Date

August 31, 2026

Current Date / Time

June 7, 2025
6:35:16 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SMILE DOCTORS, DENTAL PRACTICE OF HOVHANNISYAN AND TAHMASBI

License/Registration Type: Fictitious Name Permit

License Number: 14303 Primary Status: Current - Active

Address :
1042 N TUSTIN ST
ORANGE CA 92867
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: SMILE DOCTORS, DENTAL PRACTICE OF HOVHANNISYAN AND TAHMASBI

License/Registration Type: Fictitious Name Permit

License Number: 14303 Primary Status: Current - Active

Address :
1042 N TUSTIN ST
ORANGE CA 92867
ORANGE COUNTY

Map

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