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Licensing details for: 2256

Name: OKHOVAT, SIAMAK

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Previous Names: DR. OKHOVAT, SIAMAK

Address of Record

2231 Douglas Blvd
STE 110
ROSEVILLE CA 95661-4264
PLACER county
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Issuance Date

March 25, 2010

Expiration Date

June 30, 2026

Current Date / Time

June 6, 2025
7:25:16 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ROSEVILLE TOPSMILES DENTAL PRACTICE OF OKHOVAT PROFESSIONAL DENTAL CORP.

License/Registration Type: Fictitious Name Permit

License Number: 18524 Primary Status: Current - Active

Address :
2231 DOUGLAS BLVD., SUITE 110
ROSEVILLE CA 95661
PLACER COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: RENAISSANCE DENTAL PRACTICE OF SIAMAK OKHOVAT, DDS, INC.

License/Registration Type: Fictitious Name Permit

License Number: 6835 Primary Status: Cancelled

Address :
3984 DOUGLAS BLVD.
STE. 170
ROSEVILLE CA 95661
PLACER COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: ROSEVILLE TOPSMILES DENTAL PRACTICE OF OKHOVAT PROFESSIONAL DENTA

License/Registration Type: Fictitious Name Permit

License Number: 10041 Primary Status: Cancelled

Address :
2110 PROFESSIONAL DRIVE, STE. 115
ROSEVILLE CA 95661
PLACER COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: COURTYARD DENTAL CARE DENTAL OFFICE OF OKHOVAT DENTAL PRACTICE OF AUBURN

License/Registration Type: Fictitious Name Permit

License Number: 18521 Primary Status: Current - Active

Address :
11990 HERITAGE OAK PLACE., STE 12
AUBURN CA 95603
PLACER 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: OKHOVAT, SIAMAK

License/Registration Type: Dentist License

License Number: 47541 Primary Status: Current - Active

Address :
2231 Douglas Blvd
STE 110
ROSEVILLE CA 95661-4264
PLACER COUNTY

Map

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