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Licensing details for: 2095

Name: NASSIRI, JUSTIN BIJAN

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

10233 N Sterling Ln
FRESNO CA 93730-4533
FRESNO county
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Practice Location

1111 E Herndon Ave
104
FRESNO CA 93720-3100
FRESNO county
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Issuance Date

June 30, 2022

Expiration Date

November 30, 2027

Current Date / Time

December 15, 2025
9:0:53 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: NASSIRI, JUSTIN BIJAN

License/Registration Type: Dentist License

License Number: 102517 Primary Status: Current - Active

Address :
1111 E Herndon Ave
104
FRESNO CA 93720-3100
FRESNO COUNTY

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