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Licensing details for: 1637

Name: ABEDI, HAMID REZA

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Address of Record

9950 Irvine Center Dr
IRVINE CA 92618-4357
ORANGE county
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Issuance Date

September 30, 2008

Expiration Date

June 30, 2025

Current Date / Time

June 6, 2025
10:27:8 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LONG BEACH ENDODONTICS DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 19256 Primary Status: Current - Active

Address :
5175 E PACIFIC COAST HWY SUITE 404
LONG BEACH CA 90804

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PREMIER DENTAL SPECIALTIES, DENTAL PRACTICE

License/Registration Type: Fictitious Name Permit

License Number: 3832 Primary Status: Cancelled

Address :
2947 CHINO AVE
STE D3
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: KING HOUSE DENTAL GROUP, INC

License/Registration Type: Fictitious Name Permit

License Number: 2126 Primary Status: Cancelled

Address :
STEVE TATEVOSSIAN, DDS
529 BROOKSIDE AVENUE
REDLANDS CA 92373
SAN BERNARDINO 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: ABEDI, HAMID REZA

License/Registration Type: Dentist License

License Number: 43300 Primary Status: Current - Active

Address :
9950 Irvine Center Dr
IRVINE CA 92618-4357
ORANGE COUNTY

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