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Licensing details for: 809

Name: MANOUCHEHRI, ALI

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

31 Cuervo Dr
ALISO VIEJO CA 92656-1741
ORANGE county
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Issuance Date

July 7, 2005

Expiration Date

April 30, 2024

Current Date / Time

December 14, 2025
12:3:57 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: MANOUCHEHRI, ALI

License/Registration Type: Dentist License

License Number: 49934 Primary Status: Current - Active

Address :
31 Cuervo Dr
ALISO VIEJO CA 92656-1741
ORANGE COUNTY

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