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Licensing details for: 671

Name: MAZAHERI, ENSIEH HOURA

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

929 N. ORANGE GROVE BLVD
PASADENA CA 91103
LOS ANGELES county
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Issuance Date

April 5, 2004

Expiration Date

November 30, 2014

Current Date / Time

June 7, 2025
12:40:43 PM

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: MAZAHERI, ENSIEH HOURA

License/Registration Type: Dentist License

License Number: 51699 Primary Status: Expired

Address :
4762 PARK GRANADA #265
CALABASAS CA 91302
LOS ANGELES COUNTY

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