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Licensing details for: 1795

Name: DEYHIM, NILOOFAR

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Practice Location

853 Middlefield Rd
Suite 1
PALO ALTO CA 94301-2920
SANTA CLARA county
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Issuance Date

June 30, 2016

Expiration Date

August 31, 2025

Current Date / Time

June 6, 2025
11:13:27 PM

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: DEYHIM, NILOOFAR

License/Registration Type: Dentist License

License Number: 62011 Primary Status: Current - Active

Address :
2263 Latour Ave
LIVERMORE CA 94550-8219
SAN JOAQUIN COUNTY

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