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Licensing details for: 3552

Name: FARAHANI, ATOUSA

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

3 Ravensridge
TRABUCO CANYON CA 92679-3812
ORANGE county
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Issuance Date

October 27, 2016

Expiration Date

September 30, 2024

Current Date / Time

December 13, 2025
9:50:2 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: FARAHANI, ATOUSA

License/Registration Type: Dentist License

License Number: 64942 Primary Status: Current - Active

Address :
1 Portmarnoch Ct
COTO DE CAZA CA 92679-5105
ORANGE COUNTY

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