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Licensing details for: 1528

Name: KHOSROVANI, ALI

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Address of Record

4905 YORK AVENUE
LOS ANGELES CA 90042
LOS ANGELES county
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Issuance Date

September 10, 2008

Expiration Date

April 30, 2025

Current Date / Time

June 7, 2025
2:0:28 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: A NEW SMILE CC DENTAL GROUP OF DR'S KHOSRAVONI, RAMTIN AND ZARRIN

License/Registration Type: Fictitious Name Permit

License Number: 11259 Primary Status: Expired

Address :
27209 CAM PLENTY
CANYON COUNTRY CA 91351
LOS ANGELES COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: A BRITER SMILE DENTAL GROUP, ALI KHOSROVANI, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 8082 Primary Status: Expired

Address :
4905 YORK BOULEVARD
LOS ANGELES CA 90042
LOS ANGELES COUNTY

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OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: KHOSROVANI, ALI

License/Registration Type: Dentist License

License Number: 56085 Primary Status: Current - Active

Address :
4905 YORK
LOS ANGELES CA 90042
LOS ANGELES COUNTY

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