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Licensing details for: 2374

Name: AHMADI-ARDAKANI, AZADEH

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

27581 BERDUN
MISSION VIEJO CA 92691
ORANGE county
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Issuance Date

August 11, 2010

Expiration Date

January 31, 2023

Current Date / Time

June 6, 2025
2:19:59 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: LITTLE HEROES OF ORANGE COUNTY PEDIATRIC DENTISTRY DENTAL OFFICE

License/Registration Type: Fictitious Name Permit

License Number: 12571 Primary Status: Expired

Address :
26534 MOULTON PARKWAY, SUITE C
LAGUNA HILLS CA 92653
ORANGE 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: AHMADI-ARDAKANI, AZADEH

License/Registration Type: Dentist License

License Number: 59353 Primary Status: Current - Active

Address :
26534 Moulton Pkwy
suite C
26534 Moulton pkwy
LAGUNA HILLS CA 92653-8241
ORANGE COUNTY

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