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Licensing details for: 574

Name: KHODADADI, SOHEIL

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

8641 Wilshire Blvd Ste 125
BEVERLY HILLS CA 90211-2945
LOS ANGELES county
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Practice Location

8641 Wilshire Blvd
Suite 125
BEVERLY HILLS CA 90211-2900
LOS ANGELES county
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Issuance Date

August 13, 2007

Expiration Date

February 28, 2023

Current Date / Time

December 13, 2025
3:18:30 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: KHODADADI, SOHEIL

License/Registration Type: Dentist License

License Number: 39024 Primary Status: Current - Active

Address :
8500 Wilshire Blvd
SUITE 527
BEVERLY HILLS CA 90211-3121
LOS ANGELES COUNTY

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