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Licensing details for: 3065

Name: KOHAN, FARNAZ

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

5727 BECKFORD AVE
TARZANA CA 91356
LOS ANGELES county
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Practice Location

13065 Victory Blvd
13065 Victory Blvd
NORTH HOLLYWOOD CA 91606-2925
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500 San Fernando Mission Blvd
SAN FERNANDO CA 91340-4061
LOS ANGELES county
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Issuance Date

December 13, 2013

Expiration Date

January 31, 2023

Current Date / Time

December 14, 2025
2:45:42 AM

License Relationships

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: KOHAN, FARNAZ

License/Registration Type: Dentist License

License Number: 62906 Primary Status: Current - Active

Address :
13065 Victory Blvd
13065 Victory Plaza
NORTH HOLLYWOOD CA 91606-2925
LOS ANGELES COUNTY

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