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Licensing details for: 10415

Name: SHAHRAM HOSSEINI DDS INC

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1350 E LOS ANGELES AVE
#202
SIMI VALLEY CA 93065
VENTURA county
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Practice Location

1350 E THOUSAND OAKS BLVD #101
SIMI VALLEY CA 92065
VENTURA county
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Issuance Date

February 25, 2011

Expiration Date

February 29, 2012

Current Date / Time

April 3, 2026
8:36:18 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: HASAN, SYED MINHAJ-UL

License/Registration Type: Dentist License

License Number: 47086 Primary Status: Current - Active

Address :
1350 E LOS ANGELES AVE
SUITE 202
SIMI VALLEY CA 93065
VENTURA COUNTY

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