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Licensing details for: 2816

Name: KHOSHBIN, SARA

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

16 VIA TERRACALETA
COTO DE CAZA CA 92679
ORANGE county
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Issuance Date

September 19, 2012

Expiration Date

January 31, 2023

Current Date / Time

June 21, 2025
9:39:12 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: NEW GENERATION DENTISTRY DENTAL PRACTICE AGHAKHAN_MOHEB

License/Registration Type: Fictitious Name Permit

License Number: 10995 Primary Status: Cancelled

Address :
27654 SANTA MARGARITA PKWY
MISSION VIEJO CA 92691
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: KHOSHBIN, SARA

License/Registration Type: Dentist License

License Number: 59934 Primary Status: Current - Active

Address :
16 Via Terracaleta
COTO DE CAZA CA 92679-4016
ORANGE COUNTY

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