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Licensing details for: 64942

Name: FARAHANI, ATOUSA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1 Portmarnoch Ct
COTO DE CAZA CA 92679-5105
ORANGE county
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Issuance Date

August 10, 2015

Expiration Date

September 30, 2027

Current Date / Time

December 13, 2025
11:42:7 AM

License Relationships

OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: FARAHANI, ATOUSA

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3552 Primary Status: Cancelled

Address :
3 Ravensridge
TRABUCO CANYON CA 92679-3812
ORANGE COUNTY

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