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Licensing details for: 41

Name: MAKAN, SIRISH

License Type: Elective Facial Cosmetic Surgery

Primary Status: Current - Active

Expert Credentials: Category I Unlimited - OsteocartilaginousPrimary Status Definition

Qualification: Category II Unlimited - Soft TissuePrimary Status Definition

Previous Names: MAKAN, SIRISH RAJENDRA

Address of Record

18372 CLARK ST STE 224
TARZANA CA 91356-3508
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Active Status Location

18372 Clark St
St 224
TARZANA CA 91356-3508
LOS ANGELES county
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Practice Location

10601 Paramount Blvd
DOWNEY CA 90241-3303
LOS ANGELES county
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18372 Clark St
Ste 224
TARZANA CA 91356-3508
LOS ANGELES county
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Issuance Date

August 15, 2024

Expiration Date

June 30, 2027

Current Date / Time

June 6, 2025
1:39:17 PM

License Relationships

FCS to DDS

License/Registration Role: Elective Facial Cosmetic Surgery Permit

Related Party Role: Must hold an active Dental License

Name: MAKAN, SIRISH

License/Registration Type: Dentist License

License Number: 65305 Primary Status: Current - Active

Address :
10601 Paramount Blvd
DOWNEY CA 90241-3303
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DOWNEY ORAL AND MAXILLOFACIAL SURGERY DENTAL PRACTICE OF DR. SAMUEL LIU AND DR. SIRISH MAKAN

License/Registration Type: Fictitious Name Permit

License Number: 18852 Primary Status: Current - Active

Address :
10601 PARAMOUNT BLVD
DOWNEY CA 90241
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ADVANCED ORAL SURGERY, BAKERSFIELD, DENTAL OFFICE OF DR. SIRISH MAKAN

License/Registration Type: Fictitious Name Permit

License Number: 18511 Primary Status: Current - Active

Address :
5555 TRUXTUN AVE STE 200
BAKERSFIELD CA 93309-7450
KERN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ADVANCED ORAL SURGERY, BAKERSFIELD, DENTAL OFFICE OF DR. SIRISH MAKAN

License/Registration Type: Fictitious Name Permit

License Number: 17423 Primary Status: Expired

Address :
5555 TRUXTUN AVENUE, SUITE 200
BAKERSFIELD CA 93309
KERN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SOUTHERN CALIFORNIA CENTER FOR ORAL & FACIAL SURGERY DENTAL PRACTICE OF SIRISH MAKAN, DDS

License/Registration Type: Fictitious Name Permit

License Number: 17833 Primary Status: Expired

Address :
18372 CLARK ST STE 224
TARZANA CA 91356
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SOUTHERN CALIFORNIA CENTER FOR ORAL & FACIAL SURGERY, DENTAL PRACTICE OF DR. SIRISH MAKAN

License/Registration Type: Fictitious Name Permit

License Number: 18512 Primary Status: Current - Active

Address :
18372 CLARK ST STE 224
TARZANA CA 91356-3508
LOS ANGELES COUNTY

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