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Licensing details for: 1773

Name: VAHEDI, SAMAN

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

12300 Wilshire Blvd Ste 326
LOS ANGELES CA 90025-1020
LOS ANGELES county
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Practice Location

12300 Wilshire Blvd
#326
LOS ANGELES CA 90025-1020
LOS ANGELES county
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Issuance Date

October 29, 2015

Expiration Date

January 31, 2027

Current Date / Time

June 6, 2025
2:20:1 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: VAHEDI, SAMAN

License/Registration Type: Dentist License

License Number: 63560 Primary Status: Current - Active

Address :
12300 Wilshire Blvd
Suite 326
LOS ANGELES CA 90025-1020
LOS ANGELES COUNTY

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